Dickson INC

NPI #1003904269 in Shiloh, New Jersey

Provider Information

NPI Number: 1003904269
Entity Type: Organization
Organization Name: Dickson INC
Primary Specialty: Internal Medicine
Enumeration Date: Oct 11, 2006
Last Updated: Jul 16, 2013

Practice Location

Address: 851 MAIN ST
City: Shiloh
State: New Jersey
ZIP Code: 08353-8505
Phone: (856) 455-1464

Authorized Official

Name: DR. ROBERT W DICKSON, MD
Title: SOLE OWNER
Phone: (856) 455-1464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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