Provider Demographics
NPI:1962458851
Name:DILL, BARBARA ANGELIKA (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:ANGELIKA
Last Name:DILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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 1:1400 PELHAM PKWY S
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1138
Practice Address - Country:US
Practice Address - Phone:201-767-7778
Practice Address - Fax:201-767-3836
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2015-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA 061853207V00000X
NY190402-1207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJF98222Medicare UPIN
NJDI613158Medicare ID - Type Unspecified