Individual
DR. JEANNINE STEPHENSON BUFFONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1700 MYRTLE AVE, 58, PLAINFIELD, NJ 07063-1000
(908) 753-6401
(908) 226-6743
Mailing address
1700 MYRTLE AVE, 58, PLAINFIELD, NJ 07063-1000
(908) 753-6401
(908) 226-6743
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI022562
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0252212
—
NJ
Enumeration date
10/05/2006
Last updated
04/07/2024
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