Individual
DR. MICHELE JILLIAN CARUNCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MD
Contact information
Practice address
70 HUDSON ST STE 7, HOBOKEN, NJ 07030-5618
(201) 659-6999
Mailing address
362 AIRMOUNT AVE, RAMSEY, NJ 07446-1225
(201) 988-9629
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
059187
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DI02491307
NJ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
290429
NY
Other
Enumeration date
05/07/2011
Last updated
07/21/2022
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