Provider Demographics
NPI:1346779535
Name:DULAK, DEIRDRE ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:DEIRDRE
Middle Name:ANN
Last Name:DULAK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:200 BOWMAN DR STE E365
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-9639
Mailing Address - Country:US
Mailing Address - Phone:856-247-7295
Mailing Address - Fax:856-247-7118
Practice Address - Street 1:200 BOWMAN DR STE E365
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-9639
Practice Address - Country:US
Practice Address - Phone:856-247-7295
Practice Address - Fax:856-247-7118
Is Sole Proprietor?:No
Enumeration Date:2017-06-09
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA11941000208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery