Active NPIIndividual providerSole proprietor

Dr. Keith P Dungo, DO

Emergency Medicine in Vineland, New Jersey

NPI Number1417344102
Practice location
1505 W Sherman Ave, Vineland, NJ 08360-7059
Fax
—
Last updated
December 10, 2019

Keith Palac Dungo is an Emergency Medicine based in Vineland, NJ. Keith Palac Dungo practices in Vineland, NJ and has the professional credentials of DO. The NPI Number for Keith Palac Dungo is 1417344102 and holds a License No. A-2274-19 (NM). The current practice location address for Keith Palac Dungo is 1505 W Sherman Ave, Vineland, NJ 08360-7059 and can be reached out via phone at 856-641-8000.

Provider Profile Details

NPI Number
1417344102
Provider Name
Keith Palac Dungo
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1505 W Sherman Ave, Vineland, NJ 08360-7059
Phone Number
856-641-8000
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 20, 2015
Last Update Date
December 10, 2019
Certification Date
December 10, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
1505 W Sherman Ave
Vineland, NJ 08360-7059
Zip
08360-7059
Phone Number
856-641-8000
Vineland, NJ 08360Get directions →

Provider Business Mailing Address Details

Address
1505 W Sherman Ave
Vineland, NJ 08360-7059
City
Vineland
State
NJ
Zip
08360-7059
Phone Number
856-641-8000

License Information

License Number (2)
A-2274-19
License State (2)
NM
Taxonomy (2)
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. Keith P Dungo, DO?

The NPI number of Dr. Keith P Dungo, DO is 1417344102. It was assigned on April 20, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Keith P Dungo, DO?

Dr. Keith P Dungo, DO is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in NM under license number A-2274-19.

Where does Dr. Keith P Dungo, DO practice?

The practice location is 1505 W Sherman Ave, Vineland, NJ 08360-7059. The office can be reached at 856-641-8000 (phone).

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 1417344102 directly on the NPPES registry website.

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