Organization
RARITAN BAY ORAL & MAXILLOFACIAL SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE W FLUGRAD DMD (OWNER)
(732) 442-1860
Entity
Organization
Contact information
Practice address
276 HIGH ST, PERTH AMBOY, NJ 08861-4406
(732) 442-1860
(732) 442-8896
Mailing address
276 HIGH ST, PERTH AMBOY, NJ 08861-4406
(732) 442-1860
(732) 442-8896
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12795
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1873407
—
NJ
Enumeration date
11/14/2011
Last updated
06/01/2012
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