| Mark A Vitale Dmd & Paul M Tedeschi Dmd Pa | |
|
69 State Highway 27 Edison NJ 08820 | |
| (732) 494-7575 | |
| (732) 494-4105 |
| Full Name | Mark A Vitale Dmd & Paul M Tedeschi Dmd Pa |
|---|---|
| Speciality | Dentist |
| Location | 69 State Highway 27, Edison, New Jersey |
| Authorized Official Name and Position | Mark A Vitale (PRESIDENT) |
| Authorized Official Contact | 7324947575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A Vitale Dmd & Paul M Tedeschi Dmd Pa 69 State Highway 27 Edison NJ 08820 Ph: (732) 494-7575 | Mark A Vitale Dmd & Paul M Tedeschi Dmd Pa 69 State Highway 27 Edison NJ 08820 Ph: (732) 494-7575 |
| NPI Number | 1558306415 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558306415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 220I01414100 (New Jersey) | Secondary |
| 122300000X | Dentist | 220I01684700 (New Jersey) | Primary |
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