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Individual

DR. GARY TODD FISHBEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
150 BERGEN STREET, UNIT 1, ROOM C-401, NEWARK, NJ 07101
(973) 972-5026
Mailing address
2407 NEW YORK AVE STE 1, UNION CITY, NJ 07087-4555
(973) 214-1491

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI02392700
NJ

Other

Enumeration date
10/22/2008
Last updated
10/22/2008
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