Healthcare Provider Details

I. General information

NPI: 1124309208
Provider Name (Legal Business Name): DAWN J TUMINARO AA, BA, MSW, LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2011
Last Update Date: 12/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2446 CHURCH RD STE 3B
TOMS RIVER NJ
08753-8182
US

IV. Provider business mailing address

763 HARMONY RD
JACKSON NJ
08527-4316
US

V. Phone/Fax

Practice location:
  • Phone: 732-575-1930
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44SL05552300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: