Healthcare Provider Details

I. General information

NPI: 1053868703
Provider Name (Legal Business Name): DAWN TOPPER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2016
Last Update Date: 01/22/2024
Certification Date: 01/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 KINGS WAY E STE B1
SEWELL NJ
08080-2237
US

IV. Provider business mailing address

1 FEDERAL ST STE 200
CAMDEN NJ
08103-1088
US

V. Phone/Fax

Practice location:
  • Phone: 856-536-1515
  • Fax: 856-412-5324
Mailing address:
  • Phone: 848-288-6935
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ00665600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: