Organization
PARK AVENUE DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE HIRSHORN DMD (ORAL SURGEON)
(201) 864-4730
Entity
Organization
Contact information
Practice address
3508 PARK AVE, WEEHAWKEN, NJ 07086-6006
(201) 864-4730
(201) 864-4734
Mailing address
3508 PARK AVE, WEEHAWKEN, NJ 07086-6006
(201) 864-4730
(201) 864-4734
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DI01527800
NJ
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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