Provider Demographics
NPI:1194757757
Name:DILLON, JEFFREY T (MSPT)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:T
Last Name:DILLON
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9 FAWNRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:LONG VALLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07853-3241
Mailing Address - Country:US
Mailing Address - Phone:908-234-2488
Mailing Address - Fax:908-234-0344
Practice Address - Street 1:1885 STATE ROUTE 57 STE 5
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-3487
Practice Address - Country:US
Practice Address - Phone:908-852-5400
Practice Address - Fax:908-852-5400
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00964700225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist