Provider Demographics
NPI:1134353907
Name:DIXON, ROSINA B (MD)
Entity type:Individual
Prefix:DR
First Name:ROSINA
Middle Name:B
Last Name:DIXON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:43 OLD WOOD RD
Mailing Address - Street 2:
Mailing Address - City:BERNARDSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07924-1416
Mailing Address - Country:US
Mailing Address - Phone:908-766-3558
Mailing Address - Fax:908-766-7561
Practice Address - Street 1:43 OLD WOOD RD
Practice Address - Street 2:
Practice Address - City:BERNARDSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07924-1416
Practice Address - Country:US
Practice Address - Phone:908-766-3558
Practice Address - Fax:908-766-7561
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-08
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02576300207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine