201 Oral Surgery

NPI 1073896809 - Dentist - 1223S0112X

NPI Details
NPI 1073896809
Enumeration Date 09/28/2011
Last Updated 09/28/2011
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name SUZANNE SUZANNE
Position OFFICE MANAGER
Phone (201) 767-4001
Fax
Practice Location
180 OLD TAPPAN RD
OLD TAPPAN NJ, 07675-7052, US
Phone (201) 767-4001
Fax
Business Location
180 OLD TAPPAN RD
OLD TAPPAN NJ, 07675-7052, US
Phone
Fax
Toxanomy
Taxonomy Code 1223S0112X
License State New Jersey
License Number 22DI01547211
Remove 1073896809 NPI Number
 

According to our database, 201 Oral Surgery NPI is 1073896809, taxonomy code is 1223S0112X and license number is 22DI01547211, license state is located at New Jersey. 201 Oral Surgery physically located at 180 Old Tappan Rd, Old Tappan NJ, 07675-7052. NPI Number 1033115704 has the healthcare provider type.

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1073896809 NPI number is provided on an as is basis without warranty of any kind. 1073896809 is maintained by the National Plan & Provider Enumeration System. The contents of 201 Oral Surgery are for informational purposes only.