Individual
DR. AKIVA ANDREW DYM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(973) 972-1238
Mailing address
185 S ORANGE AVE MSB E609, NEWARK, NJ 07103-2757
(973) 972-5500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA10768800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0748056
—
NJ
Enumeration date
03/29/2017
Last updated
06/09/2023
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