Organization
ST. JOSEPH HOSPITAL AND MEDICAL CENTER
Active
Other names
St. Joseph's dental
Organization subpart
No
Provider details
NPI number
Authorized official
DIONNE C. PIERCE (OFFICE MANAGER)
(973) 754-4250
Entity
Organization
Contact information
Practice address
21 MARKET ST, PATERSON, NJ 07501-1723
(973) 754-4250
(973) 754-4259
Mailing address
21 MARKET ST, PATERSON, NJ 07501-1723
(973) 754-4250
(973) 754-4259
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000604
—
NJ
01
—
2117814
DELTA DENTAL
NJ
01
—
4136403
NJHCAP
NJ
05
—
50057
—
NJ
Enumeration date
11/08/2005
Last updated
03/31/2021
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