Organization
CENTRAL PHYSICIAN SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUANE J DYSON MD (PRESIDENT)
(732) 212-0051
Entity
Organization
Contact information
Practice address
300 CENTRAL AVE, EAST ORANGE, NJ 07018-2819
(973) 672-8400
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(732) 212-0051
(732) 212-0052
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02040857
NY MEDICAID
NJ
01
—
1137829
HORIZON NJ HEALTH
NJ
05
—
7735405
—
NJ
01
—
CI1325 & DB1263
RAILROAD MEDICARE
NJ
01
—
G985557
OXFORD
NJ
Enumeration date
06/28/2007
Last updated
07/21/2022
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