Provider Demographics
NPI:1497862346
Name:BEGAN, DINA M (MD)
Entity Type:Individual
Prefix:
First Name:DINA
Middle Name:M
Last Name:BEGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:133 MADISON ST
Mailing Address - Street 2:UNIT 1 A
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-7831
Mailing Address - Country:US
Mailing Address - Phone:201-795-0021
Mailing Address - Fax:201-795-0020
Practice Address - Street 1:133 MADISON ST
Practice Address - Street 2:UNIT 1 A
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-7831
Practice Address - Country:US
Practice Address - Phone:201-795-0021
Practice Address - Fax:201-795-0020
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY203045207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G89958Medicare UPIN