Derrick M Desilva Jr, MD | |
629 Amboy Ave, Edison, NJ 08837-3579 | |
(732) 738-8801 | |
(732) 738-8802 |
Full Name | Derrick M Desilva Jr |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 42 Years |
Location | 629 Amboy Ave, Edison, New Jersey |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
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1467541755 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MA51400 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Jfk Medical Center | Edison, NJ | Hospital |
Raritan Bay Medical Center Perth Amboy Division | Perth amboy, NJ | Hospital |
Entity Name | Derrick M De Silva Jr Md Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295192706 PECOS PAC ID: 2961708672 Enrollment ID: O20160307001405 |
Mailing Address | Practice Location Address |
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Derrick M Desilva Jr, MD 629 Amboy Ave, Edison, NJ 08837-3579 Ph: (732) 738-8801 | Derrick M Desilva Jr, MD 629 Amboy Ave, Edison, NJ 08837-3579 Ph: (732) 738-8801 |
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