Individual
DR. KIM C DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
123 HOW LN, NEW BRUNSWICK, NJ 08901-3653
(732) 745-8600
(732) 729-0869
Mailing address
123 HOW LN, NEW BRUNSWICK, NJ 08901-3653
(732) 745-8600
(732) 729-0869
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA07134200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0022471
—
NJ
01
—
P00087647
RAILROAD MEDICARE
NJ
Enumeration date
06/12/2006
Last updated
11/17/2011
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