Organization Name: | ASAD S. SADIQ, DMD PA |
NPI Number: | 1447696810 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RITA SCHILDKAMP (OFFICE MANAGER) |
Mailing Address: | 55 Pemberton Browns Mill Rd Browns Mills |
State: | NJ US |
Postal Code: | 080153111 |
Phone Number: | 6098935200 |
Fax Number: | 6098937271 |
NPI Enumeration Date: | 05/13/2013 |
NPI Last Update Date: | 05/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 13540 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |