Individual
DR. JASON BIRNBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,F.A.G.D.
Contact information
Practice address
210 PROSPECT AVE, PHILLIPSBURG, NJ 08865-1518
(908) 859-2600
Mailing address
210 PROSPECT AVE, PHILLIPSBURG, NJ 08865-1518
(908) 859-2600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01491300
NJ
Other
Enumeration date
09/03/2006
Last updated
07/08/2007
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