1223G0001X
Mountainside, NJ
Specialty
1223G0001X
Credential
D.M.D.
NPI
1255476800
1132 Spruce Dr., Mountainside, NJ 07092
(908) 317-0071Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 1223g0001x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 1223G0001X