| Northeast Regional Center For Oral & Maxillofacial Surgery | |
|
50 E Main St Little Falls NJ 07424-5604 | |
| (973) 256-0103 | |
| (973) 256-8066 |
| Full Name | Northeast Regional Center For Oral & Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 50 E Main St, Little Falls, New Jersey |
| Authorized Official Name and Position | Richard Patrick Szumita (OWNER) |
| Authorized Official Contact | 9732560103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Regional Center For Oral & Maxillofacial Surgery 50 E Main St Little Falls NJ 07424-5604 Ph: (973) 256-0103 | Northeast Regional Center For Oral & Maxillofacial Surgery 50 E Main St Little Falls NJ 07424-5604 Ph: (973) 256-0103 |
| NPI Number | 1164806972 |
|---|---|
| Provider Enumeration Date | 07/13/2015 |
| Last Update Date | 07/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164806972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DI18430 (New Jersey) | Primary |
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