Provider Demographics
NPI:1649420464
Name:DOUYON, ERWIN (MD)
Entity Type:Individual
Prefix:
First Name:ERWIN
Middle Name:
Last Name:DOUYON
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 1:220 HAMBURG TPKE
Mailing Address - Street 2:SUITE 11
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-2110
Mailing Address - Country:US
Mailing Address - Phone:973-942-4941
Mailing Address - Fax:973-942-4259
Practice Address - Street 1:220 HAMBURG TPKE
Practice Address - Street 2:SUITE 11
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2110
Practice Address - Country:US
Practice Address - Phone:973-942-4941
Practice Address - Fax:973-942-4259
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-29
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY249264208600000X, 2086S0102X
NJ25MA08703400208600000X, 2086S0102X
FLME 118245208600000X, 2086S0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care