| Oral And Maxillofacial Assoc Of Nutley | |
|
244 Chestnut St Nutley NJ 07110-4318 | |
| (973) 667-5844 | |
| (973) 667-6653 |
| Full Name | Oral And Maxillofacial Assoc Of Nutley |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 244 Chestnut St, Nutley, New Jersey |
| Authorized Official Name and Position | Philip M Echo (PARTNER) |
| Authorized Official Contact | 9736675844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral And Maxillofacial Assoc Of Nutley 244 Chestnut Street Nutley NJ 07110-4318 Ph: (973) 667-5844 | Oral And Maxillofacial Assoc Of Nutley 244 Chestnut St Nutley NJ 07110-4318 Ph: (973) 667-5844 |
| NPI Number | 1811088701 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811088701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 16959 (New Jersey) | Primary |
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