| Riverside Oral Surgery - Warren | |
|
65 Mountain Blvd Ext Ste 106 Warren NJ 07059-5658 | |
| (732) 356-1414 | |
| Not Available |
| Full Name | Riverside Oral Surgery - Warren |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 65 Mountain Blvd Ext Ste 106, Warren, New Jersey |
| Authorized Official Name and Position | Jason M Auerabach (OWNER) |
| Authorized Official Contact | 2014876565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Oral Surgery - Warren 130 Kinderkamack Rd Ste 204 River Edge NJ 07661-1931 Ph: (201) 487-6565 | Riverside Oral Surgery - Warren 65 Mountain Blvd Ext Ste 106 Warren NJ 07059-5658 Ph: (732) 356-1414 |
| NPI Number | 1356080170 |
|---|---|
| Provider Enumeration Date | 05/31/2022 |
| Last Update Date | 05/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356080170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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