ORAL & MAXILLOFACIAL ASSOC OF NUTLEY; NPI #1457417495

Contact Information

ORAL & MAXILLOFACIAL ASSOC OF NUTLEY

187 WASHINGTON AVENUE
SUITE 1B
NUTLEY, NJ 07110

Phone: 973-667-5844
Fax: 973-667-6653
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral & Maxillofacial Surgery	204E00000X	02	Physician/General Surgery

Indicates primary specialty

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NPI Profile & details for ORAL & MAXILLOFACIAL ASSOC OF NUTLEY

NPI # 1457417495

LBN Legal business name ORAL & MAXILLOFACIAL ASSOC OF NUTLEY

Authorized official PHILIP ECHO - (ORAL SURGEON)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/27/2006

Last updated 09/04/2014 - About 12 years ago

Identifiers

NJ	License #	D1016959
NJ	License #	D1017058

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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ORAL & MAXILLOFACIAL ASSOC OF NUTLEY

Contact Information

Specialty

Oral & Maxillofacial Surgery

NPI Profile & details for ORAL & MAXILLOFACIAL ASSOC OF NUTLEY

Reviews for ORAL & MAXILLOFACIAL ASSOC OF NUTLEY