Individual
TONY DICKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
10 DRS JAMES PARKER BLVD STE 105, RED BANK, NJ 07701-1500
(908) 433-7263
(732) 898-3559
Mailing address
10 DRS JAMES PARKER BLVD STE 105, RED BANK, NJ 07701-1500
(908) 433-7263
(732) 898-3559
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01077300
NJ
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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