Individual
DR. RIYAZALI HASSAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
96 W FRONT ST, RED BANK, NJ 07701-1645
(732) 747-9232
(732) 747-9234
Mailing address
96 W FRONT ST, RED BANK, NJ 07701-1645
(732) 747-9232
(732) 747-9234
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI01982200
NJ
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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