Individual
DR. HASSAM CHAUHDRY SULTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
382 W PASSAIC AVE FL 2, BLOOMFIELD, NJ 07003-5552
(973) 338-1383
(973) 338-8113
Mailing address
382 W PASSAIC AVE FL 2, BLOOMFIELD, NJ 07003-5552
(973) 338-1383
(973) 338-8113
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
010888
CT
1223P0221X
Pediatric Dentistry
058306
NY
1223P0221X
Pediatric Dentistry
Primary
22DI02567900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0053158
CDS
CT
01
—
D10408300
CDS
NJ
Enumeration date
07/02/2012
Last updated
12/08/2017
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