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ABRAHAM M SPEISER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
60 PARK PL, SUITE 1107, NEWARK, NJ 07102-5511
(973) 732-3208
(973) 732-3207
Mailing address
60 PARK PL, SUITE 1107, NEWARK, NJ 07102-5511
(973) 732-3208
(973) 732-3207

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
029107
NY
122300000X
Dentist
Primary
22D100918700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000310002
NJ
05
0700100
NJ
01
22D100918700
DENTAL LICENSE
NJ
01
29107
DENTAL LICENSE
NY
Enumeration date
02/27/2007
Last updated
11/01/2010
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