Individual
SANDRA K DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM,,C.PEDORTHIST
Contact information
Practice address
501 BAY AVE STE 103, SOMERS POINT, NJ 08244-2554
(609) 926-7006
(609) 926-7016
Mailing address
PO BOX 755, 501 BAY AVE ST 103, SOMERS POINT, NJ 08244
(609) 926-7006
(609) 926-7016
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00248000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8133000
—
NJ
Enumeration date
10/25/2006
Last updated
06/22/2010
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