Organization
ELITE ORAL & MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAHIN GHOBADI D.M.D (OWNER/ORAL SURGEON)
(973) 732-4555
Entity
Organization
Contact information
Practice address
246 HAMBURG TPKE, SUITE 304, WAYNE, NJ 07470-2156
(973) 732-4555
(973) 732-4556
Mailing address
246 HAMBURG TPKE, SUITE 304, WAYNE, NJ 07470-2156
(973) 732-4555
(973) 732-4556
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
22DI02332400
NJ
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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