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Organization

FREDA & SURIANO ORTHODONTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANTHONY THOMAS SURIANO D.M.D. (CO-OWNER)
(973) 748-2248
Entity
Organization

Contact information

Practice address
557 BROAD ST, BLOOMFIELD, NJ 07003-2885
(973) 748-2248
(973) 748-7004
Mailing address
122 MORRISTOWN RD, BERNARDSVILLE, NJ 07924-2339
(908) 295-5343
(908) 766-1087

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Enumeration date
05/17/2007
Last updated
04/23/2008
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