# RUTGERS HEALTH DENTAL ASSOCIATES OS-NWK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023766086
- **Authorized official:** ROSEMARIE VACCARO MANAGEMENT (SR MGR BILLING & COLLECTIONS)
- **Authorized official phone:** (973) 972-8664

## Contact information

- **Practice address:** 90 BERGEN ST \# 7700, NEWARK, NJ 07103-2425
- **Practice address phone:** (973) 972-2444
- **Practice address fax:** (973) 972-2441
- **Mailing address:** 90 BERGEN ST \# 7700, NEWARK, NJ 07103-2425
- **Mailing address phone:** (973) 972-2444
- **Mailing address fax:** (973) 972-2441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 03/17/2022
- **Last updated:** 03/21/2022