Organization
NJ ENDODONTICS GROUP BLOOMFIELD LLC
Active
Parent organization
NORTH JERSEY ENDODONTIC GROUP LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH JERSEY ENDODONTIC GROUP LLC
Authorized official
DR. NASSIM KOHLY DDS (PARTNER)
(201) 484-5404
Entity
Organization
Contact information
Practice address
554 BLOOMFIELD AVE, BLOOMFIELD, NJ 07003-3307
(973) 281-4184
Mailing address
22 OLD SHORT HILLS RD STE 208, LIVINGSTON, NJ 07039-5605
(973) 743-5500
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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