Individual
DR. JUDD GARSON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4405 BROADWAY, NEW YORK, NY 10040-4014
(212) 568-1500
(212) 740-2097
Mailing address
16 BELAIRE CT, OLD BRIDGE, NJ 08857-3035
(732) 607-2223
(732) 607-2223
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
035589
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02558950
—
NY
Enumeration date
05/01/2007
Last updated
07/08/2007
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