Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Keith Palac Dungo, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417344102

Dr. Keith Palac Dungo, DO is a Student in an Organized Health Care Education/Training Program in Vineland, New Jersey. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2015
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1505 W Sherman Ave
Vineland, NJ 08360-7059
Phone: (856) 641-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A-2274-19 (NM)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417344102
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 20, 2015
Last updated in NPPESDecember 10, 2019
Certification dateDecember 10, 2019
Mailing address1505 W Sherman Ave, Vineland, NJ 08360-7059

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