Hoboken Orthodontics

NPI 1063671196 - Dentist - 1223X0400X

NPI Details
NPI 1063671196
Enumeration Date 06/04/2008
Last Updated 06/04/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name RUSSELL M RUSSELL
Position ORTHODONTIST
Phone (201) 792-7666
Fax
Practice Location
726 WASHINGTON ST
HOBOKEN NJ, 07030-5169, US
Phone (201) 792-7666
Fax
Business Location
726 WASHINGTON ST
HOBOKEN NJ, 07030-5169, US
Phone (201) 792-7666
Fax
Toxanomy
Taxonomy Code 1223X0400X
License State New Jersey
License Number 22DI02309200
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According to our database, Hoboken Orthodontics NPI is 1063671196, taxonomy code is 1223X0400X and license number is 22DI02309200, license state is located at New Jersey. Hoboken Orthodontics physically located at 726 Washington St, Hoboken NJ, 07030-5169. NPI Number 1033115704 has the healthcare provider type.

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1063671196 NPI number is provided on an as is basis without warranty of any kind. 1063671196 is maintained by the National Plan & Provider Enumeration System. The contents of Hoboken Orthodontics are for informational purposes only.