Individual
HANI F. BRAIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
110 BERGEN ST, DEPT. OF OMFS, NEWARK, NJ 07103-2495
(973) 972-9492
Mailing address
110 BERGEN ST, NEWARK, NJ 07103-2495
(973) 972-9492
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DI02193000
NJ
Other
Enumeration date
04/06/2006
Last updated
04/06/2015
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