Organization · Type 2 NPI

The Connie Dwyer Breast Center

Surgery Physician · Newark, NJ

NPI number 1386772226 Active

Practice location

111 Central Ave
Newark, NJ 07102-1909

Call (973) 877-5189 Map

Fax (973) 877-5205

Mailing address

PO Box 2047
South Hackensack, NJ 07606-0647

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X25MA02784400 (NJ)
Surgery Physician Primary 208600000X25MA07666200 (NJ)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1386772226

The Connie Dwyer Breast Center's National Provider Identifier is 1386772226, issued on Mar 1, 2007. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Newark, NJ. The record was last updated on Sep 11, 2025.