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NPI Code Detail

MEDICARE: JENNIFER DILLON

MEDICARE: JENNIFER DILLON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1629579958
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER DILLON
Provider Business Mailing Address
First Line : 60 W LANDIS AVE
Second Line :
City : VINELAND
State : NJ
Zip : 08360-8132
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 60 W LANDIS AVE
Second Line :
City : VINELAND
State : NJ
Zip : 08360-8132
Country : US
Telephone Number : 856-772-5809
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2018
Last Update Date : 02/22/2018

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Directions to “ JENNIFER DILLON ” Practice Location

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