Individual
DR. JOHN B DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
552 WESTWOOD AVE, LONG BRANCH, NJ 07740-5239
(732) 222-7800
(732) 571-2075
Mailing address
368 MEADOWBROOK AVE, EATONTOWN, NJ 07724-2315
(732) 542-4635
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA07358300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2K9152
HEALTHNET
NJ
01
—
P3597459
OXFORD
NJ
Enumeration date
02/13/2006
Last updated
02/10/2014
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