| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 225 State Rt 23 S, Hamburg, New Jersey |
| Authorized Official Name and Position | Ronald Joseph Forte (OWNER) |
| Authorized Official Contact | 9732094500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
225 State Rt 23 S Hamburg NJ 07419 Ph: (973) 209-4500 | 225 State Rt 23 S Hamburg NJ 07419 Ph: (973) 209-4500 |
| NPI Number | 1336286467 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336286467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DI17830 (New Jersey) | Primary |
Barry N. Eisenman, Dmd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Quarry Rd, Hamburg, NJ 07419 Phone: 973-827-8804 Fax: 973-827-6824 |