| NPI | 1659555613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN MARK FRIEDMAN President 973-538-5338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ 22D100999900) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2007-12-26 |