North Jersey Oral Maxillofacial Reconstruction Surgery, PC
Dentist, Oral and Maxillofacial Surgery in Budd Lake, NJ. Organization (NPI-2).
NPI number1043485535
StatusActive
Last updated in NPPESNov 9, 2012
Details
- NPI
- 1043485535
- Entity type
- Organization (NPI-2)
- Legal business name
- North Jersey Oral Maxillofacial Reconstruction Surgery, PC
- Organization subpart
- No
- Enumeration date
- Apr 25, 2008
- Last updated
- Nov 9, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 22DI02217300 | NJ | Yes |
Practice location
98 Us Highway 46Suite 3
Budd Lake, NJ 07828
Phone 973-691-8400 · Fax 973-691-8408
Mailing address
98 Us Highway 46Suite 3
Budd Lake, NJ 07828
Phone 973-691-8400 · Fax 973-691-8408
Authorized official
John V. Vecchione
President
9736918400
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