| Bergen Orthodontic Assoc., Pa | |
|
500 Piermont Rd Closter NJ 07624-2845 | |
| (201) 768-4121 | |
| (201) 768-3495 |
| Full Name | Bergen Orthodontic Assoc., Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 500 Piermont Rd, Closter, New Jersey |
| Authorized Official Name and Position | Martin Stanley Levitt (PRESIDENT) |
| Authorized Official Contact | 2017684121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bergen Orthodontic Assoc., Pa 500 Piermont Rd Closter NJ 07624-2845 Ph: (201) 768-4121 | Bergen Orthodontic Assoc., Pa 500 Piermont Rd Closter NJ 07624-2845 Ph: (201) 768-4121 |
| NPI Number | 1265655310 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 02/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265655310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 8033, 2174 (New Jersey) | Primary |
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