Individual
DR. JUSTIN MACRAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(347) 988-5485
Mailing address
615 PAVONIA AVE APT 3107, JERSEY CITY, NJ 07306-2957
(347) 988-5485
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/23/2017
Last updated
06/23/2017
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