Rutgers Health Dental Associates Os-nwk | |
90 Bergen St # 7700 Newark NJ 07103-2425 | |
(973) 972-2444 | |
(973) 972-2441 |
Full Name | Rutgers Health Dental Associates Os-nwk |
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Speciality | Dentist |
Location | 90 Bergen St # 7700, Newark, New Jersey |
Authorized Official Name and Position | Rosemarie Vaccaro (SR MGR BILLING & COLLECTIONS) |
Authorized Official Contact | 9739728664 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rutgers Health Dental Associates Os-nwk 90 Bergen St # 7700 Newark NJ 07103-2425 Ph: (973) 972-2444 | Rutgers Health Dental Associates Os-nwk 90 Bergen St # 7700 Newark NJ 07103-2425 Ph: (973) 972-2444 |
NPI Number | 1023766086 |
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Provider Enumeration Date | 03/17/2022 |
Last Update Date | 03/21/2022 |
Medicare PECOS PAC ID | 5395125421 |
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Medicare Enrollment ID | O20220707002182 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023766086 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Provider Name | Shahid Aziz |
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Provider Type | Practitioner - Maxillofacial Surgery |
Provider Identifiers | NPI Number: 1356303044 PECOS PAC ID: 9739124884 Enrollment ID: I20050621000078 |
Provider Name | Imad Tamimi |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1659669091 PECOS PAC ID: 0042116618 Enrollment ID: I20110912000111 |
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