Provider Demographics
NPI:1124229778
Name:DUNN, EDWARD J (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:J
Last Name:DUNN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 UNCLE FREEMANS RD
Mailing Address - Street 2:
Mailing Address - City:WEST DENNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02670-2307
Mailing Address - Country:US
Mailing Address - Phone:508-394-6119
Mailing Address - Fax:
Practice Address - Street 1:10 UNCLE FREEMANS RD
Practice Address - Street 2:
Practice Address - City:WEST DENNIS
Practice Address - State:MA
Practice Address - Zip Code:02670-2307
Practice Address - Country:US
Practice Address - Phone:508-394-6119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA33038207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery