Provider Demographics
NPI:1619273539
Name:BARBARA A DILL, MD, LLC
Entity Type:Organization
Organization Name:BARBARA A DILL, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:DILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-894-0525
Mailing Address - Street 1:120 HAZEL CT
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07648-1817
Mailing Address - Country:US
Mailing Address - Phone:201-767-7778
Mailing Address - Fax:201-767-3836
Practice Address - Street 1:440 CURRY AVE
Practice Address - Street 2:SUITE C
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-6704
Practice Address - Country:US
Practice Address - Phone:201-894-0525
Practice Address - Fax:201-894-8666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-10
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA061853207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty