| NPI | 1679791859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN H TRAUM Periodontist 732-494-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NJ 10303) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |