# RARITAN BAY ORAL & MAXILLOFACIAL SURGERY PA

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

## Provider details

- **NPI number:** 1467739714
- **Authorized official:** DR. GEORGE W FLUGRAD DMD (OWNER)
- **Authorized official phone:** (732) 442-1860

## Contact information

- **Practice address:** 276 HIGH ST, PERTH AMBOY, NJ 08861-4406
- **Practice address phone:** (732) 442-1860
- **Practice address fax:** (732) 442-8896
- **Mailing address:** 276 HIGH ST, PERTH AMBOY, NJ 08861-4406
- **Mailing address phone:** (732) 442-1860
- **Mailing address fax:** (732) 442-8896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 12795 | NJ | Yes |

## Other

- **Enumeration date:** 11/14/2011
- **Last updated:** 06/01/2012