Individual
DWANE EVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23 BRYN MAWR AVE, TRENTON, NJ 08618-4003
(609) 977-7093
Mailing address
437 LEWISTOWN RD, COLUMBUS, NJ 08022-2222
(609) 977-7093
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
NJ
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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