Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 38MC00311500 | NJ |
NPI | 1346302940 |
---|---|
Provider Name | Margaret M Dillon |
First Address | New Egypt, NJ 08533-1800 |
Second Address | New Egypt, NJ 08533-1800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2006 |
Last Update Date | 02/04/2008 |