Individual
DR. DYLAN JAMES MCDIVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
125 EAST AVE STE C, WOODSTOWN, NJ 08098-1351
(856) 769-2800
(856) 769-4256
Mailing address
786 CARTERET CT, MOUNT LAUREL, NJ 08054-3205
(856) 641-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB10990100
NJ
Other
Enumeration date
06/08/2018
Last updated
01/21/2025
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