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Individual

DR. BARRY MASER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
888 GRAND CONCOURSE, 4E, BRONX, NY 10451-2802
(718) 665-8792
Mailing address
401 LYNN ST, HARRINGTON PARK, NJ 07640-1119

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22D100815000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00641456
NY
01
26518
NY STATE LICENSE
NY
01
2804
SPECIALTY PERMIT NUMBER
NJ
Enumeration date
02/12/2007
Last updated
07/09/2007
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