Provider Demographics
NPI:1740741008
Name:DUNAC, MERLIN (DO)
Entity Type:Individual
Prefix:
First Name:MERLIN
Middle Name:
Last Name:DUNAC
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 VAN NESS CT
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07040-3323
Mailing Address - Country:US
Mailing Address - Phone:973-309-6904
Mailing Address - Fax:
Practice Address - Street 1:16 VAN NESS CT
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07040-3323
Practice Address - Country:US
Practice Address - Phone:973-000-0000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-28
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB11916000207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology