Individual
DR. BRIAN P TRAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
290 LAFAYETTE AVE, HAWTHORNE, NJ 07506-1961
(973) 423-0789
(973) 423-1188
Mailing address
290 LAFAYETTE AVE, HAWTHORNE, NJ 07506-1961
(973) 423-0789
(973) 423-1188
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
22DI01656600
NJ
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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