Basic Information
Provider Information
NPI: 1902002843
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DUNN
FirstName: JUSTIN
MiddleName: MATTHEW
NamePrefix: DR.
NameSuffix:  
Credential: MD, MPH
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 95 ARCH ST
Address2: SUITE 300
City: AKRON
State: OH
PostalCode: 443041437
CountryCode: US
TelephoneNumber: 3302538195
FaxNumber: 3302530853
Practice Location
Address1: 95 ARCH ST
Address2: SUITE 300
City: AKRON
State: OH
PostalCode: 443041437
CountryCode: US
TelephoneNumber: 3302538195
FaxNumber: 3302530853
Other Information
ProviderEnumerationDate: 06/26/2007
LastUpdateDate: 07/29/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0011X35.121884OHY Allopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology

No ID Information.


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