Provider Demographics
NPI:1205980646
Name:LUNT, DAVID M (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:M
Last Name:LUNT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:22 N FRANKLIN BLVD
Mailing Address - Street 2:
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08232-2547
Mailing Address - Country:US
Mailing Address - Phone:609-272-0655
Mailing Address - Fax:609-272-9188
Practice Address - Street 1:4401 VENTNOR AVE
Practice Address - Street 2:2 ND FLOOR
Practice Address - City:ATLANTIC CITY
Practice Address - State:NJ
Practice Address - Zip Code:08401-5736
Practice Address - Country:US
Practice Address - Phone:609-345-2050
Practice Address - Fax:609-345-2052
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA07552100207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25MA07552100OtherMEDICAL LICENSE
NJ25MA07552100OtherMEDICAL LICENSE
NJ088378NYNMedicare PIN
NJI25571Medicare UPIN