Individual
ZWANNAH DUKULY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 RIVERVIEW PLZ, RIVERVIEW MEDICAL CENTER DEPT OF PATHOLOGY, RED BANK, NJ 07701-1864
(732) 530-2347
(732) 345-2045
Mailing address
2517 HIGHWAY 35, BLDG M SUITE 101, MANASQUAN, NJ 08736-1918
(732) 528-1323
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MA59684
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7538103
—
NJ
Enumeration date
01/31/2006
Last updated
07/19/2010
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