NPI 1093015000
Dereck L Dillard
Practice location
- Address
- 870 S Orange Ave, Newark, NJ 07106-1944
- Phone
- (646) 355-5583
Registered specialties
Home Health Aide
Primary
Registry record
- NPI
- 1093015000
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Oct 2010
- Record last updated
- 5 May 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.