Individual
DR. JOSEPH PETER CIVITELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 BAY AVE # 3, MONTCLAIR, NJ 07042-4837
(973) 429-6887
Mailing address
5 CARR PL, TOTOWA, NJ 07512-1916
(862) 684-2041
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/26/2016
Last updated
02/02/2016
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