| Genualdi Orthodontic Associates, Pa | |
|
52 Deforest Ave Summit NJ 07901-1930 | |
| (908) 273-7450 | |
| (908) 273-7633 |
| Full Name | Genualdi Orthodontic Associates, Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 52 Deforest Ave, Summit, New Jersey |
| Authorized Official Name and Position | David Genualdi (VICE-PRESIDENT) |
| Authorized Official Contact | 9082737450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genualdi Orthodontic Associates, Pa 52 Deforest Ave Summit NJ 07901-1930 Ph: (908) 273-7450 | Genualdi Orthodontic Associates, Pa 52 Deforest Ave Summit NJ 07901-1930 Ph: (908) 273-7450 |
| NPI Number | 1609088699 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609088699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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