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1740242437
ANDRE H. MONTAZEM
NEW YORK, NY
NPI
1740242437
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
204E00000X Oral & Maxillofacial Surgery
(Licence: NY 208721)
Enumeration Date
2006-04-06
Last Update Date
2007-07-08
Business Address
Dr. ANDRE H. MONTAZEM M.D.
1 GUSTAVE L LEVY PL BOX 1187
NEW YORK, NY 10029-6500
Phone number: 212-241-0316
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Mailing Address
Dr. ANDRE H. MONTAZEM M.D.
54 ROOSEVELT AVE
HAWTHORNE, NJ 07506-1539
Phone number: 862-684-5578
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