institution
Derrick M. Desilva, Jr. Md
Non-Pharmacy Dispensing Site in Edison, New Jersey
NPI 1083923585

Derrick M. Desilva, Jr. Md is a Non-Pharmacy Dispensing Site based in Los Angeles, NJ. Derrick M. Desilva, Jr. Md practices in Edison, NJ. The NPI Number for Derrick M. Desilva, Jr. Md is 1083923585 and holds a License No. (New Jersey).

The current practice location address for Derrick M. Desilva, Jr. Md is 629 Amboy Ave, Edison, NJ and can be reached out via phone at 732-738-8801. You can also correspond with Derrick M. Desilva, Jr. Md through the mailing address at 2980 N BEVERLY GLEN CIR, LOS ANGELES, CA - 90077-1726 (mailing address contact number: 310-474-9809).

Location: 629 Amboy Ave, Edison, NJ, 90077-1726
institution
Provider Profile Details
NPI Number
1083923585
Provider Name
Derrick M. Desilva, Jr. Md
Credential
Provider Entity Type
Organization
Address
629 Amboy Ave, Edison, NJ, 90077-1726
Phone Number
732-738-8801
Fax Number
Provider Enumeration Date
09/30/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
629 Amboy Ave
City
State
Zip
08837-3579
Phone Number
732-738-8801
Fax Number
person
Provider Business Mailing Address Details
Address
2980 N Beverly Glen Cir
City
State
Zip
90077-1726
Phone Number
310-474-9809
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
License No.
()
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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