| Broadway Oral Surgery, Llc | |
|
925 Broadway Bayonne NJ 07002-3088 | |
| (201) 858-1400 | |
| Not Available |
| Full Name | Broadway Oral Surgery, Llc |
|---|---|
| Speciality | Dentist |
| Location | 925 Broadway, Bayonne, New Jersey |
| Authorized Official Name and Position | Michael Skolnick (CEO) |
| Authorized Official Contact | 2018581400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadway Oral Surgery, Llc 925 Broadway Bayonne NJ 07002-3088 Ph: (201) 858-1400 | Broadway Oral Surgery, Llc 925 Broadway Bayonne NJ 07002-3088 Ph: (201) 858-1400 |
| NPI Number | 1427734680 |
|---|---|
| Provider Enumeration Date | 06/23/2023 |
| Last Update Date | 06/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427734680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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