Provider Demographics
NPI:1962686634
Name:TOWNSHIP OF JEFFERSON
Entity Type:Organization
Organization Name:TOWNSHIP OF JEFFERSON
Other - Org Name:TOWNSHIP OF JEFFERSON
Other - Org Type:Other Name
Authorized Official - Title/Position:PUBLIC HEALTH NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:973-663-0700
Mailing Address - Street 1:1033 WELDON RD
Mailing Address - Street 2:
Mailing Address - City:LAKE HOPATCONG
Mailing Address - State:NJ
Mailing Address - Zip Code:07849-2332
Mailing Address - Country:US
Mailing Address - Phone:973-663-0700
Mailing Address - Fax:973-663-6410
Practice Address - Street 1:1033 WELDON RD
Practice Address - Street 2:
Practice Address - City:LAKE HOPATCONG
Practice Address - State:NJ
Practice Address - Zip Code:07849-2332
Practice Address - Country:US
Practice Address - Phone:973-663-0700
Practice Address - Fax:973-663-6410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-18
Last Update Date:2010-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ786929Medicare PIN