| Oral & Maxillofacial Surgery Institute Pc | |
|
50 Park Place Ste # 1540 Newark NJ 07102 | |
| (973) 643-1130 | |
| (973) 643-1537 |
| Full Name | Oral & Maxillofacial Surgery Institute Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 50 Park Place, Newark, New Jersey |
| Authorized Official Name and Position | Steven Anthony Dirinzo (OWNER) |
| Authorized Official Contact | 9736431130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral & Maxillofacial Surgery Institute Pc 50 Park Place Ste # 1540 Newark NJ 07102 Ph: (973) 643-1130 | Oral & Maxillofacial Surgery Institute Pc 50 Park Place Ste # 1540 Newark NJ 07102 Ph: (973) 643-1130 |
| NPI Number | 1114152766 |
|---|---|
| Provider Enumeration Date | 05/27/2009 |
| Last Update Date | 05/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114152766 | NPI | - | NPPES |
| 8975809 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
News Archive
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