Individual
SUDEEP DHILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 CAPITAL WAY STE 315, PENNINGTON, NJ 08534-2521
(732) 668-2000
Mailing address
2 CAPITAL WAY STE 315, PENNINGTON, NJ 08534-2521
(732) 668-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD440219
PA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
25MA08756500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102505857 0001
—
PA
Enumeration date
06/09/2010
Last updated
07/19/2013
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