Individual
DR. ELLIOT BARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
50 WALLACE ST, RED BANK, NJ 07701-1861
(732) 747-0993
(732) 747-0961
Mailing address
45 DUNE RD, WAYSIDE, NJ 07712-3766
(732) 757-6250
(732) 747-0961
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DI22550
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0046515
—
NJ
Enumeration date
02/22/2006
Last updated
07/08/2007
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