Organization
ORAL & MAXILLOFACIAL ASSOC OF NUTLEY
Active
Other names
Oral & Maxillofacial Assocciates of Nutley, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP M ECHO DMD (ORAL SURGEON)
(973) 667-5844
Entity
Organization
Contact information
Practice address
187 WASHINGTON AVENUE, SUITE 1B, NUTLEY, NJ 07110
(973) 667-5844
(973) 667-6653
Mailing address
187 WASHINGTON AVENUE, SUITE 1B, NUTLEY, NJ 07110
(973) 667-5844
(973) 667-6653
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
D1016959
NJ
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
D1017058
NJ
Other
Enumeration date
12/27/2006
Last updated
09/04/2014
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