Dr. Emile Amzallag, D.D.S.
Dentist, General Practice in Fort Lee, NJ. Individual provider (NPI-1).
NPI number1902133291
StatusActive
Last updated in NPPESJun 9, 2015
Details
- NPI
- 1902133291
- Entity type
- Individual (NPI-1)
- Name
- Dr. Emile Amzallag
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 8, 2009
- Last updated
- Jun 9, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 010159 | CT | Yes |
Practice location
2100 Linwood Ave#7-S
Fort Lee, NJ 07024-3186
Phone 646-266-2642
Mailing address
2100 Linwood Ave#7-S
Fort Lee, NJ 07024-3186
Phone 646-266-2642
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