Individual
DR. JOHN P SOUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
696 ANDERSON AVE, CLIFFSIDE PARK, NJ 07010-2030
(201) 945-1094
Mailing address
696 ANDERSON AVE, CLIFFSIDE PARK, NJ 07010-2030
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9972
NJ
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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