Individual
DYLAN GARRETT VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 PROSPECT AVE STE 613, HACKENSACK, NJ 07601-1962
(201) 489-6520
(551) 228-7606
Mailing address
1203 WINDSOR CT, DENVILLE, NJ 07834-3444
(973) 970-4339
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
25MA13011400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2021
Last updated
04/07/2026
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