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Individual

DR. GEORGE CARLTON DIXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
210 MEADOWLANDS AVE, CARE STATION 4, SECAUCUS, NJ 07094
(201) 348-3636
(201) 583-0713
Mailing address
222 BERGEN BLVD, STE 8, FAIRVIEW, NJ 07022
(201) 945-1156
(201) 945-0012

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA53094
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1K9047
HEALTHNET
01
543866
ONE HEALTH PLAN
01
57Y501
WELL CHOICE
01
P1281905
OXFORD
Enumeration date
10/18/2006
Last updated
11/01/2007
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