Organization
JOHN T. DEDOUSIS, MD, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN THOMAS DEDOUSIS M.D. (PRESIDENT)
(201) 339-1133
Entity
Organization
Contact information
Practice address
1166 KENNEDY BLVD, BAYONNE, NJ 07002-3112
(201) 339-1133
(201) 339-1073
Mailing address
1166 KENNEDY BLVD, BAYONNE, NJ 07002-3112
(201) 339-1133
(201) 339-1073
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1838903
—
NJ
Enumeration date
01/19/2007
Last updated
08/22/2020
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