Provider Demographics
NPI:1417549288
Name:DIMON, ASHLEY E (RD)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:E
Last Name:DIMON
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2076 OLD YORK RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-9766
Mailing Address - Country:US
Mailing Address - Phone:609-784-4644
Mailing Address - Fax:
Practice Address - Street 1:15 PIONEER BLVD
Practice Address - Street 2:
Practice Address - City:WESTAMPTON
Practice Address - State:NJ
Practice Address - Zip Code:08060-3825
Practice Address - Country:US
Practice Address - Phone:609-784-4644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-03
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered