Individual
DR. AMY TANCHYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
150 BERGEN ST, ROOM C-401 UNIT ONE, NEWARK, NJ 07103-2496
(973) 972-5026
(973) 972-3070
Mailing address
110 BERGEN ST, ROOM B-854 DEPT OF OMFS, NEWARK, NJ 07103-2495
(973) 972-5026
(973) 972-3070
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DI02350300
NJ
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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