Individual
LISA DUNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
211 MOUNTAIN AVE, ASSOCIATES IN CARDIOVASCULAR DISEASE, SPRINGFIELD, NJ 07081-2221
(973) 467-0005
(973) 912-8989
Mailing address
PO BOX 416457, PRACTICE ASSOCIATES MEDICAL GROUP, BOSTON, MA 02241-6457
(973) 656-6280
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00094000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0272213
—
NJ
Enumeration date
01/10/2006
Last updated
05/09/2013
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