Individual
DR. MIRIAM TYGIER FURLONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
186 W VETERANS HWY, JACKSON, NJ 08527-3410
(732) 942-8400
(732) 942-6505
Mailing address
186 W VETERANS HWY, JACKSON, NJ 08527-3410
(732) 942-8400
(732) 942-6505
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02024800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22DI02024800
DENTAL LICENSE
NJ
Enumeration date
07/30/2015
Last updated
07/30/2015
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