Organization
DICKSON INC
Active
Other names
t/a shiloh medical group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT W DICKSON MD (SOLE OWNER)
(856) 455-1464
Entity
Organization
Contact information
Practice address
851 MAIN ST, SHILOH, NJ 08353-8505
(856) 455-1464
(856) 455-6381
Mailing address
PO BOX 110, SHILOH, NJ 08353-0110
(856) 455-1464
(856) 455-6381
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA53365
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2673304
—
NJ
Enumeration date
10/11/2006
Last updated
07/16/2013
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