Individual
DR. NICHOLAS RICHARD BARRESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
75 MAIN ST STE 107, MILLBURN, NJ 07041-1322
(201) 919-0418
Mailing address
23 MANN CT, MONMOUTH BEACH, NJ 07750-1052
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
22DI02837400
NJ
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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