Individual
DR. MARK LEWIS DUNLEAVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 PRINCETON AVE, PRINCETON, NJ 08540-1617
(609) 924-8131
Mailing address
325 PRINCETON AVE, PRINCETON, NJ 08540-1617
(609) 924-8131
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
25MA12311800
NJ
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
25MA12311800
NJ
Other
Enumeration date
05/29/2018
Last updated
08/26/2024
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