# ELIZABETH ORAL AND MAXILLOFACIAL SURGICAL GROUP LLC

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

## Provider details

- **NPI number:** 1477707628
- **Authorized official:** DR. FREDERICK MEISELMAN DDS (OWNER)
- **Authorized official phone:** (908) 289-7511

## Contact information

- **Practice address:** 429 WESTFIELD AVE, ELIZABETH, NJ 07208-1620
- **Practice address phone:** (908) 289-7511
- **Practice address fax:** (908) 289-3421
- **Mailing address:** 429 WESTFIELD AVE, ELIZABETH, NJ 07208-1620
- **Mailing address phone:** (908) 289-7511
- **Mailing address fax:** (908) 289-3421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 22DI00789900 | NJ | Yes |

## Other

- **Enumeration date:** 11/13/2008
- **Last updated:** 11/13/2008