| NPI | 1275541922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK RAYMOND ZIMMERMAN President 732-458-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 20098) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 15144) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |