Individual
DEVON JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 WOODS RD FL ACP3, VALHALLA, NY 10595-1530
(914) 493-1892
Mailing address
19 BRADHURST AVE STE 3100N, HAWTHORNE, NY 10532-2140
(914) 909-9018
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
200975
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73L911
—
NY
Enumeration date
10/05/2005
Last updated
02/22/2021
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