Individual
DR. RONALD FEDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
40 N VAN BRUNT ST, SUITE 29, ENGLEWOOD, NJ 07631-2740
(201) 894-0888
(201) 871-4622
Mailing address
40 N VAN BRUNT ST, SUITE 29, ENGLEWOOD, NJ 07631-2740
(201) 894-0888
(201) 871-4622
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
NJ10543
NJ
Other
Enumeration date
10/11/2005
Last updated
07/08/2007
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