Provider Demographics
NPI:1225193451
Name:TALON, DENNIS JARDIEL (MD)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:JARDIEL
Last Name:TALON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 HIGH ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:NEWTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07860-9604
Mailing Address - Country:US
Mailing Address - Phone:973-300-1289
Mailing Address - Fax:973-300-9573
Practice Address - Street 1:222 HIGH ST
Practice Address - Street 2:SUITE 206
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-9604
Practice Address - Country:US
Practice Address - Phone:973-300-1289
Practice Address - Fax:973-300-9573
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA065980207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology