Provider Demographics
NPI:1265697429
Name:BIERMANN FLYNN, DANA LYNN (DO)
Entity type:Individual
Prefix:DR
First Name:DANA
Middle Name:LYNN
Last Name:BIERMANN FLYNN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1050 MANTUA PIKE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WENONAH
Mailing Address - State:NJ
Mailing Address - Zip Code:08090-1141
Mailing Address - Country:US
Mailing Address - Phone:856-853-0848
Mailing Address - Fax:856-853-1889
Practice Address - Street 1:1050 MANTUA PIKE
Practice Address - Street 2:SUITE 200
Practice Address - City:WENONAH
Practice Address - State:NJ
Practice Address - Zip Code:08090
Practice Address - Country:US
Practice Address - Phone:856-853-0848
Practice Address - Fax:856-853-1889
Is Sole Proprietor?:No
Enumeration Date:2008-07-26
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB08430500208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics