Healthcare Provider Details

I. General information

NPI: 1326960030
Provider Name (Legal Business Name): DAWN EASTERDAY RPSGT, RST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 KINGS WAY E STE B6
SEWELL NJ
08080-2237
US

IV. Provider business mailing address

1998 MARLTON PIKE E
CHERRY HILL NJ
08003-1834
US

V. Phone/Fax

Practice location:
  • Phone: 856-772-1119
  • Fax:
Mailing address:
  • Phone: 856-424-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number49FW00010400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: