| Elizabeth Oral And Maxillofacial Surgical Group Llc | |
|
429 Westfield Ave Elizabeth NJ 07208-1620 | |
| (908) 289-7511 | |
| (908) 289-3421 |
| Full Name | Elizabeth Oral And Maxillofacial Surgical Group Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 429 Westfield Ave, Elizabeth, New Jersey |
| Authorized Official Name and Position | Frederick Meiselman (OWNER) |
| Authorized Official Contact | 9082897511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Oral And Maxillofacial Surgical Group Llc 429 Westfield Ave Elizabeth NJ 07208-1620 Ph: (908) 289-7511 | Elizabeth Oral And Maxillofacial Surgical Group Llc 429 Westfield Ave Elizabeth NJ 07208-1620 Ph: (908) 289-7511 |
| NPI Number | 1477707628 |
|---|---|
| Provider Enumeration Date | 11/13/2008 |
| Last Update Date | 11/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477707628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 22DI00789900 (New Jersey) | Primary |
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