| August Pellegrini Dds Pa | |
|
942 Avenue C Bayonne NJ 07002-3026 | |
| (201) 339-1742 | |
| (201) 339-7822 |
| Full Name | August Pellegrini Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 942 Avenue C, Bayonne, New Jersey |
| Authorized Official Name and Position | August Pellegrini (DIRECT OWNER) |
| Authorized Official Contact | 2013391742 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| August Pellegrini Dds Pa 942 Ave C Bayonne NJ 07002 Ph: (201) 339-1742 | August Pellegrini Dds Pa 942 Avenue C Bayonne NJ 07002-3026 Ph: (201) 339-1742 |
| NPI Number | 1760697270 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760697270 | NPI | - | NPPES |
| 1134213846 | Other | NJ | INDIVIDUAL NPI # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DI15641 (New Jersey) | Primary |
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