Park Avenue Dental Group | |
3508 Park Ave Weehawken NJ 07086-6006 | |
(201) 864-4730 | |
(201) 864-4734 |
Full Name | Park Avenue Dental Group |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 3508 Park Ave, Weehawken, New Jersey |
Authorized Official Name and Position | Bruce Hirshorn (ORAL SURGEON) |
Authorized Official Contact | 2018644730 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Park Avenue Dental Group 3508 Park Ave Weehawken NJ 07086-6006 Ph: (201) 864-4730 | Park Avenue Dental Group 3508 Park Ave Weehawken NJ 07086-6006 Ph: (201) 864-4730 |
NPI Number | 1558733196 |
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Provider Enumeration Date | 10/22/2015 |
Last Update Date | 10/22/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558733196 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 22DI01527800 (New Jersey) | Primary |
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