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Individual

DR. IGNATIUS SCALIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
869 BERGEN AVE, JERSEY CITY, NJ 07306-4405
(201) 333-4990
(201) 332-7650
Mailing address
869 BERGEN AVE, JERSEY CITY, NJ 07306-4405
(201) 333-4990
(201) 332-7650

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DI01699300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6437702
NJ
01
708660
AETNA ID NUMBER
NJ
Enumeration date
03/09/2007
Last updated
07/08/2007
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