Individual
DR. DAVID PAULUSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
354 ROUTE 46 W, SUITE 1A, HACKETTSTOWN, NJ 07840-5335
(908) 850-4200
(908) 850-3730
Mailing address
354 ROUTE 46 W, SUITE 1A, HACKETTSTOWN, NJ 07840-5335
(908) 850-4200
(908) 850-3730
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15179
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255482048
TYPE 2 NPI
NJ
Enumeration date
06/30/2009
Last updated
06/30/2009
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