Active NPIIndividual providerSole proprietor

Dr. Kevin T Dwyer, DO

Emergency Medicine in Stratford, New Jersey

NPI Number1063774859
Practice location
1 Medical Center Dr, Stratford, NJ 08084-1500
Fax
856-346-6573
Last updated
March 31, 2017

Kevin Thomas Dwyer is an Emergency Medicine based in Stratford, NJ. Kevin Thomas Dwyer practices in Stratford, NJ and has the professional credentials of DO. The NPI Number for Kevin Thomas Dwyer is 1063774859 and holds a License No. 25MB09853400 (NJ). The current practice location address for Kevin Thomas Dwyer is 1 Medical Center Dr, Stratford, NJ 08084-1500 and can be reached out via phone at 856-346-7985 and via fax at 856-346-6573.

Provider Profile Details

NPI Number
1063774859
Provider Name
Kevin Thomas Dwyer
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1 Medical Center Dr, Stratford, NJ 08084-1500
Phone Number
856-346-7985
Fax Number
856-346-6573
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 8, 2012
Last Update Date
March 31, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Medical Center Dr
Stratford, NJ 08084-1500
Zip
08084-1500
Phone Number
856-346-7985
Fax Number
856-346-6573
Stratford, NJ 08084Get directions →

Provider Business Mailing Address Details

Address
1 Medical Center Dr
Stratford, NJ 08084-1500
City
Stratford
State
NJ
Zip
08084-1500
Phone Number
856-346-7985
Fax Number
856-346-6573

License Information

License Number
25MB09853400
License State
NJ
Taxonomy
Emergency Medicine · 207P00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kevin T Dwyer, DO?

The NPI number of Dr. Kevin T Dwyer, DO is 1063774859. It was assigned on June 8, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Kevin T Dwyer, DO?

Dr. Kevin T Dwyer, DO is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in NJ under license number 25MB09853400.

Where does Dr. Kevin T Dwyer, DO practice?

The practice location is 1 Medical Center Dr, Stratford, NJ 08084-1500. The office can be reached at 856-346-7985 (phone) or 856-346-6573 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063774859 directly on the NPPES registry website.

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