| Orthique Llc | |
|
1124 E Jersey St Elizabeth NJ 07201-2406 | |
| (973) 472-4900 | |
| Not Available |
| Full Name | Orthique Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1124 E Jersey St, Elizabeth, New Jersey |
| Authorized Official Name and Position | Michael Ethan Skolnick (OWNER) |
| Authorized Official Contact | 9734724900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orthique Llc 1124 E Jersey St Elizabeth NJ 07201-2406 Ph: (973) 472-4900 | Orthique Llc 1124 E Jersey St Elizabeth NJ 07201-2406 Ph: (973) 472-4900 |
| NPI Number | 1518434935 |
|---|---|
| Provider Enumeration Date | 10/24/2018 |
| Last Update Date | 10/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518434935 | NPI | - | NPPES |
| 0302066 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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