NPI 1356706741

Theresa Charlene Dawson, PHD

Practitioner Contractor Newark, NJ

Practice location

Address: 555 Mount Prospect Ave APT 15m, Newark, NJ 07104-1543
Phone: (973) 350-1389
Fax: (973) 482-3040

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1356706741
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Dec 2015
Record last updated: 29 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.