Individual
DYNO HIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 963-6888
(856) 968-8499
Mailing address
3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
(856) 963-6888
(856) 968-8499
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NJ00293500
NJ
367500000X
Certified Registered Nurse Anesthetist
RN529392L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019460420003
—
PA
01
—
NR11774400
STATE LICENSE
NJ
Enumeration date
06/08/2007
Last updated
06/29/2010
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