Bergen Oral Surgery Group Pa

NPI 1316024458 - Dentist - 1223S0112X

NPI Details
NPI 1316024458
Enumeration Date 11/01/2006
Last Updated 06/05/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name STEVEN M STEVEN
Position PRESIDENT
Phone (201) 343-8297
Fax (201) 343-2535
Practice Location
920 MAIN ST
HACKENSACK NJ, 07601-5017, US
Phone (201) 343-8297
Fax (201) 343-2535
Business Location
920 MAIN ST
HACKENSACK NJ, 07601-5017, US
Phone (201) 343-8297
Fax (201) 343-2535
Toxanomy
Taxonomy Code 1223S0112X
License State New Jersey
License Number 22DI01524901
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According to our database, Bergen Oral Surgery Group Pa NPI is 1316024458, taxonomy code is 1223S0112X and license number is 22DI01524901, license state is located at New Jersey. Bergen Oral Surgery Group Pa physically located at 920 Main St, Hackensack NJ, 07601-5017. NPI Number 1033115704 has the healthcare provider type.

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1316024458 NPI number is provided on an as is basis without warranty of any kind. 1316024458 is maintained by the National Plan & Provider Enumeration System. The contents of Bergen Oral Surgery Group Pa are for informational purposes only.