Organization
N.J. ORAL & FACIAL SURGERY OF MONROE, LLC
Active
Other names
New Jersey Oral & Facial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIKOLAY LEVINTOV MD, DDS (OWNER)
(609) 395-8300
Entity
Organization
Contact information
Practice address
18 CENTRE DR STE 202, MONROE, NJ 08831-1501
(609) 395-8300
Mailing address
12 WHITNEY DR, MARLBORO, NJ 07746-1242
(646) 651-6499
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316382641
NPI
NJ
Enumeration date
10/04/2022
Last updated
10/04/2022
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