Individual
ANUP MUDULI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
180 RAMAPO VALLEY RD, OAKLAND, NJ 07436-2524
(201) 337-3797
(201) 337-8845
Mailing address
180 RAMAPO VALLEY RD, OAKLAND, NJ 07436-2524
(201) 337-3797
(201) 337-8845
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
050719
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22D102160600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02680748
—
NY
Enumeration date
03/29/2006
Last updated
03/18/2008
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