Basic Information
| Provider Information | |||||||||
| NPI: | 1932536232 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DUNN | ||||||||
| FirstName: | EPHRAIM | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D. O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2101 W LEHIGH AVE STE A | ||||||||
| Address2: | |||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191322664 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2648667211 | ||||||||
| FaxNumber: | 3056986536 | ||||||||
| Practice Location | |||||||||
| Address1: | 2101 W LEHIGH AVE STE A | ||||||||
| Address2: | |||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19132 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2648667211 | ||||||||
| FaxNumber: | 3056986536 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/01/2013 | ||||||||
| LastUpdateDate: | 08/02/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 207Q000X | NJ | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | OS017795 | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.