| Anthony M Pallotta Dds Pa | |
|
164 Warburton Avenue Hawthorne NJ 07506 | |
| (973) 427-4201 | |
| (973) 427-3480 |
| Full Name | Anthony M Pallotta Dds Pa |
|---|---|
| Speciality | Dentist |
| Location | 164 Warburton Avenue, Hawthorne, New Jersey |
| Authorized Official Name and Position | Adam M. Rauzman (DENTIST) |
| Authorized Official Contact | 9734274201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony M Pallotta Dds Pa 164 Warburton Avenue Hawthorne NJ 07506 Ph: (973) 427-4201 | Anthony M Pallotta Dds Pa 164 Warburton Avenue Hawthorne NJ 07506 Ph: (973) 427-4201 |
| NPI Number | 1144368994 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 04/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144368994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22D100828600 (New Jersey) | Primary |
| 122300000X | Dentist | 22D102250101 (New Jersey) | Secondary |
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