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Derrick M. Desilva, Jr. MD — NPI 1598074759, Edison, NJ | NPI Central

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NPI 1598074759

OrganizationActive

Derrick M. Desilva, Jr. MD

NPI 1598074759 · Non-Pharmacy Dispensing Site · Edison, NJ

Provider details

NPI number: 1598074759
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Parent organization: Derrick M. Desilva, Jr. MD
Organization subpart: Yes
Authorized official: Derrick Desilva, Medical Director(732) 738-8801

Specialties & taxonomies

Non-Pharmacy Dispensing SitePrimary332900000X
Suppliers

Practice location

629 Amboy Ave

Edison, NJ 08837-3579

Phone: (732) 738-8801

Approximate (ZIP-level) locationGet directions

More NJ providers

Mailing address

629 Amboy Ave

Edison, NJ 08837-3579

Registry dates

Enumerated: 2010-10-05
Last updated: 2011-03-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.