Organization
RARITAN BAY ORAL SURGERY
Active
Parent organization
45-3358409
Other names
Raritan Bay Oral Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
45-3358409
Authorized official
GEORGE FLUGRAD SR. DMD (ORAL SURGERON/OWNER)
(732) 442-1860
Entity
Organization
Contact information
Practice address
453 AMBOY AVE STE 2, WOODBRIDGE, NJ 07095-2949
(732) 442-1860
(732) 874-5198
Mailing address
453 AMBOY AVE STE 2, WOODBRIDGE, NJ 07095-2949
(732) 442-1860
(732) 874-5198
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0285391
—
NJ
05
—
1598745531
—
NJ
05
—
1873407
—
NJ
Enumeration date
04/23/2022
Last updated
04/23/2022
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