Organization Name: | CENTRAL JERSEY DENTAL |
NPI Number: | 1043212806 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NORMAN T BLUMENSTOCK (PARTNER) |
Mailing Address: | 410 Spotswood Englishtown Rd Monroe Township |
State: | NJ US |
Postal Code: | 088318615 |
Phone Number: | 7322517766 |
Fax Number: | 7322517676 |
NPI Enumeration Date: | 08/11/2005 |
NPI Last Update Date: | 03/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |