Individual
MR. BASSAM MASSABNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
275 HOBART STREET, PERTH AMBOY, NJ 08861
(732) 376-9333
(732) 324-5765
Mailing address
275 HOBART ST, PERTH AMBOY, NJ 08861-3396
(732) 376-9333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21296
NJ
1223G0001X
General Practice Dentistry
22DI02129600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0381080
—
NJ
Enumeration date
03/26/2007
Last updated
06/01/2018
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