Organization
BERGENFIELD ORAL SURGERY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MENDEL MARKOWITZ DDS (OWNER)
(201) 384-2555
Entity
Organization
Contact information
Practice address
12 S WASHINGTON AVE, BERGENFIELD, NJ 07621-2325
(201) 384-2555
Mailing address
12 S WASHINGTON AVE, BERGENFIELD, NJ 07621-2325
(201) 384-2555
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DI01802900
NJ
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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