| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MARK LEWIS DUNLEAVY | 1689165318 | 2024-08-11 |
Mark Lewis Dunleavy is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1689165318. Registration indicates Mark Lewis Dunleavy is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Orthopaedic Surgery (Orthopaedic Surgery: Adult Reconstructive Orthopaedic Surgery, ) (Specialist Network, ) (Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians) (Orthopaedic Surgery, )
| Entity Type | Individual |
| Provider Name | Mark Lewis Dunleavy MD |
| Practice Office Address | 325 PRINCETON AVE PRINCETON, NJ US |
| Practice Office Telephone | 6099248131 |
| Mailing Address | 325 PRINCETON AVE PRINCETON, NJ 085401617 US |
| Business Telephone | 6099248131 |
| Code | Practice | License No State |
|---|---|---|
| 207XS0114X PRIMARY | Allopathic & Osteopathic Physicians Orthopaedic Surgery Orthopaedic Surgery: Adult Reconstructive Orthopaedic Surgery Specialist Network Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery Allopathic & Osteopathic Physicians Orthopaedic Surgery | 01090491A
IN |