Individual
JASON MICHAEL AUERBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
130 KINDERKAMACK RD, SUITE 204, RIVER EDGE, NJ 07661-1931
(201) 487-6565
(201) 487-4229
Mailing address
130 KINDERKAMACK RD, SUITE 204, RIVER EDGE, NJ 07661-1931
(201) 487-6565
(201) 487-4229
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
048765-1
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DI02230000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02289509
—
NY
Enumeration date
02/08/2006
Last updated
11/06/2007
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