Individual
DR. ROBERT J DEFALCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
30 W CENTURY RD, SUITE 210, PARAMUS, NJ 07652-1433
(201) 261-0170
(201) 261-0145
Mailing address
30 W CENTURY RD, SUITE 210, PARAMUS, NJ 07652-1433
(201) 261-0170
(201) 261-0145
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
DI078613
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8069506
—
NJ
Enumeration date
07/21/2006
Last updated
07/09/2007
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