Individual
DR. STEVEN E. SITRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., P.A.
Contact information
Practice address
125 MAY ST, SUITE 200, EDISON, NJ 08837-3264
(732) 826-1095
Mailing address
125 MAY ST, SUITE 200, EDISON, NJ 08837-3264
(732) 826-1095
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI 15762
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222035157
TAX ID
NJ
01
—
DI 15762
STATE LICENSE NUMBER
NJ
Enumeration date
11/13/2006
Last updated
07/08/2007
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