Individual
DR. JUDITH MAMAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
885 MAIN ST, HACKENSACK, NJ 07601-4914
(201) 343-4302
Mailing address
885 MAIN ST, HACKENSACK, NJ 07601-4914
(201) 343-4302
(201) 343-4304
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI20512
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7839707
—
NJ
Enumeration date
12/10/2005
Last updated
01/14/2021
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