Dwayne K Mccormick , CERTIFIED HAIR LOSS
Specialist - Prosthetics Case Management • Hillside, NJ
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dwayne Mccormick has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dwayne Mccormick, CERTIFIED HAIR LOSS was a registered Specialist - Prosthetics Case Management practicing in Hillside, NJ. Throughout an active medical career spanning 1 years, Dwayne Mccormick provided care at the practice location at 542 BLOY ST until profile deactivation on 2019-11-04.
Practice Location & Contact Primary Location
542 Bloy St
Hillside, NJ 072051744
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist - Prosthetics Case Management in Hillside, NJ
Practicing in Hillside, NJ (30 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1744P3200X
Definition to come...
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 04, 2019
NPI status registered as active in NPPES database
Registered at 542 BLOY ST, HILLSIDE, NJ 072051744 (Tel: 9732776354)
Registered at 1105 JOSEPH CT, SOUTH PLAINFIELD, NJ 070802354 (Tel: 9732776354)
Recorded as DWAYNE MCCORMICK, CERTIFIED HAIR LOSS
Specialist (License #32WG07436100 in NJ)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1105 Joseph Ct
South Plainfield, NJ 070802354
Phone: 9732776354
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