| Doctor Name: | MR. CHRISTOPHER MICHAEL DICK |
| NPI Number: | 1700176864 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | APN-C |
| License Number: | 26NJ00326700 |
| Business Practice Address: | 165 Princeton Ave West Deptford, NJ - 080963123 |
| Business Phone Number: | 8563840210 |
| Business Fax Number: | 8563840218 |
| Mailing Address: | 333 Laurel Oak Rd, VOORHEES |
| State: | NJ |
| Postal Code: | 080434453 |
| Phone Number: | 8563447360 |
| Fax Number: | 8567831403 |
| NPI Enumeration Date: | 04/11/2011 |
| NPI Last Update Date: | 05/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 26NJ00326700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |