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Ent Sinus And Sleep Center

Otolaryngology, Facial Plastic Surgery in Colonia, NJ. Organization (NPI-2).

NPI number1902575129
StatusActive
Last updated in NPPESSep 23, 2021

Details

NPI
1902575129
Entity type
Organization (NPI-2)
Legal business name
Ent Sinus And Sleep Center
Organization subpart
Yes
Enumeration date
Sep 10, 2021
Certification date
Sep 23, 2021
Last updated
Sep 23, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207YS0123X Otolaryngology, Facial Plastic Surgery––Yes

Practice location

15 Prospect Ln Ste 2g
Colonia, NJ 07067-3048

Phone 732-574-1777 · Fax 732-574-2707

Mailing address

1253 Springfield Ave Ste 351
New Providence, NJ 07974-2931

Phone 732-574-1777 · Fax 732-574-2707

Authorized official

Thomas Frank Mazzoni
Physician
9087218292

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