Organization
AUGUST PELLEGRINI DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUGUST PELLEGRINI JR. D.D.S. (DIRECT OWNER)
(201) 339-1742
Entity
Organization
Contact information
Practice address
942 AVENUE C, BAYONNE, NJ 07002-3026
(201) 339-1742
(201) 339-7822
Mailing address
942 AVE C, BAYONNE, NJ 07002
(201) 339-1742
(201) 339-7822
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI15641
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134213846
INDIVIDUAL NPI #
NJ
Enumeration date
05/10/2007
Last updated
08/22/2020
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