Individual
DR. GEORGE JOSEPH FRESOLONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
32 HINE ST, PATERSON, NJ 07503-2955
(973) 881-7800
Mailing address
24 KINCAID RD, BOONTON, NJ 07005-9402
(973) 316-1275
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01100900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1696700
—
NJ
Enumeration date
04/19/2007
Last updated
07/08/2007
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