Individual
DR. AVI WEISFOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
30 STATE ROUTE 18, OLD BRIDGE, NJ 08857-1420
(732) 257-5600
(732) 651-1454
Mailing address
30 STATE ROUTE 18, OLD BRIDGE, NJ 08857-1420
(732) 257-5600
(732) 651-1454
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI20783
NJ
Other
Enumeration date
10/24/2006
Last updated
10/03/2012
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