Provider Demographics
NPI:1124771316
Name:DNP MEDICAL ASSOCIATES LLC
Entity type:Organization
Organization Name:DNP MEDICAL ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAUL
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, FNP-C
Authorized Official - Phone:856-343-2342
Mailing Address - Street 1:15 E TAUNTON AVE
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08009-1622
Mailing Address - Country:US
Mailing Address - Phone:856-767-0320
Mailing Address - Fax:856-768-1080
Practice Address - Street 1:15 E TAUNTON AVE
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:NJ
Practice Address - Zip Code:08009-1622
Practice Address - Country:US
Practice Address - Phone:856-767-0320
Practice Address - Fax:856-768-1080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-28
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care