Provider Demographics
NPI:1962731000
Name:DYSON-HUDSON, TREVOR ANTHONY JUSTIN (MD)
Entity type:Individual
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First Name:TREVOR
Middle Name:ANTHONY JUSTIN
Last Name:DYSON-HUDSON
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1199 PLEASANT VALLEY WAY
Mailing Address - Street 2:KESSLER FOUNDATION RESEARCH CENTER
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-1424
Mailing Address - Country:US
Mailing Address - Phone:973-324-3576
Mailing Address - Fax:973-243-6984
Practice Address - Street 1:1199 PLEASANT VALLEY WAY
Practice Address - Street 2:KESSLER FOUNDATION RESEARCH CENTER
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-1424
Practice Address - Country:US
Practice Address - Phone:973-324-3576
Practice Address - Fax:973-243-6984
Is Sole Proprietor?:No
Enumeration Date:2009-12-21
Last Update Date:2009-12-21
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA0664900002081P0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P0004XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSpinal Cord Injury Medicine