Organization
VC ORAL AND MAXILLOFACIAL SURGERY
Active
Other names
Palisades Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA CAPUTO (MANAGER)
(201) 585-8282
Entity
Organization
Contact information
Practice address
1530 PALISADE AVE, FORT LEE, NJ 07024-5471
(201) 585-8082
(201) 585-0805
Mailing address
1530 PALISADE AVE, FORT LEE, NJ 07024-5471
(201) 585-8082
(201) 585-0805
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
DI20747
NJ
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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