Individual
STEPHEN ABBATICCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
242 STATE ROUTE 79 N, SUITE 7, MORGANVILLE, NJ 07751-2078
(732) 817-1100
(732) 817-1102
Mailing address
64 WILLOWBROOK CT, STATEN ISLAND, NY 10302-2402
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
022398
NJ
Other
Enumeration date
04/08/2006
Last updated
07/08/2007
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