| NPI | 1073920666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT FEDERMAN Chairman 201-592-7920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ 22DI01144100) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: NJ 22DI02512900) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |