| NPI | 1164171930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARIE VACCARO Sr Mgr Billing & Collections 973-972-8664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2022-03-21 |