Individual
DR. LOUIS JOSEPH MADDALENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
191 S RIDGEDALE AVE, EAST HANOVER, NJ 07936-3207
(973) 887-7767
(973) 887-5463
Mailing address
191 S RIDGEDALE AVE, EAST HANOVER, NJ 07936-3207
(973) 887-7767
(973) 887-5463
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01464400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22DI101464400
STATE LICENSE NUMBER
NJ
Enumeration date
04/23/2007
Last updated
07/08/2007
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