# ORAL AND MAXILLOFACIAL ASSOC OF NUTLEY

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

## Provider details

- **NPI number:** 1811088701
- **Authorized official:** PHILIP M ECHO DMD (PARTNER)
- **Authorized official phone:** (973) 667-5844

## Contact information

- **Practice address:** 244 CHESTNUT ST, NUTLEY, NJ 07110-4318
- **Practice address phone:** (973) 667-5844
- **Practice address fax:** (973) 667-6653
- **Mailing address:** 244 CHESTNUT STREET, NUTLEY, NJ 07110-4318
- **Mailing address phone:** (973) 667-5844
- **Mailing address fax:** (973) 667-6653

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 16959 | NJ | Yes |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 08/22/2020