Provider Demographics
NPI:1124090881
Name:DUNN, JONATHAN C (MD)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:C
Last Name:DUNN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2 LINCOLN HWY 501
Mailing Address - Street 2:SUITE B-202
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820
Mailing Address - Country:US
Mailing Address - Phone:732-549-7470
Mailing Address - Fax:732-494-8596
Practice Address - Street 1:2 LINCOLN HIGHWAY
Practice Address - Street 2:SUITE 501
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820
Practice Address - Country:US
Practice Address - Phone:732-549-7470
Practice Address - Fax:732-494-8596
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ51811207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1430203Medicaid
NJBD1483697OtherDEA
NJ1430203Medicaid
NJE13178Medicare UPIN