Organization
ORAL & MAXILLOFACIAL SURGERY INSTITUTE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN ANTHONY DIRINZO DDS (OWNER)
(973) 643-1130
Entity
Organization
Contact information
Practice address
50 PARK PLACE, STE # 1540, NEWARK, NJ 07102
(973) 643-1130
(973) 643-1537
Mailing address
50 PARK PLACE, STE # 1540, NEWARK, NJ 07102
(973) 643-1130
(973) 643-1537
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8975809
—
NJ
Enumeration date
05/27/2009
Last updated
05/27/2009
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