# ANTHONY M PALLOTTA DDS PA

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

## Provider details

- **NPI number:** 1144368994
- **Authorized official:** DR. ADAM M. RAUZMAN DDS (DENTIST)
- **Authorized official phone:** (973) 427-4201

## Contact information

- **Practice address:** 164 WARBURTON AVENUE, HAWTHORNE, NJ 07506
- **Practice address phone:** (973) 427-4201
- **Practice address fax:** (973) 427-3480
- **Mailing address:** 164 WARBURTON AVENUE, HAWTHORNE, NJ 07506
- **Mailing address phone:** (973) 427-4201
- **Mailing address fax:** (973) 427-3480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22D100828600 | NJ | Yes |
| 122300000X | Dentist | 22D102250101 | NJ | — |

## Other

- **Enumeration date:** 02/02/2007
- **Last updated:** 04/28/2009
