| Michael J Denner Md Pa | |
|
17 W Red Bank Ave Ste 204 Woodbury NJ 08096 | |
| (856) 853-1133 | |
| (856) 845-5405 |
| Full Name | Michael J Denner Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 17 W Red Bank Ave, Woodbury, New Jersey |
| Authorized Official Name and Position | Lucy A Azzarano (OFFICE MANAGER) |
| Authorized Official Contact | 8568531133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Denner Md Pa 17 W Red Bank Ave Ste 204 Woodbury NJ 08096 Ph: (856) 853-1133 | Michael J Denner Md Pa 17 W Red Bank Ave Ste 204 Woodbury NJ 08096 Ph: (856) 853-1133 |
| NPI Number | 1043499825 |
|---|---|
| Provider Enumeration Date | 10/30/2007 |
| Last Update Date | 03/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043499825 | NPI | - | NPPES |
| 3229505 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | MA41786 (New Jersey) | Primary |
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