NPI 1093965048

Raritan Valley Oral and Maxillofacial Surgery P.A.

Organisation Oral & Maxillofacial Surgery (D.M.D.) Edison, NJ

Practice location

Address: 619 Amboy Ave, Edison, NJ 08837-3584
Phone: (732) 738-6555
Fax: (732) 738-6565

Authorised official

Name: Dawn Amodio
Title: Office Manager
Phone: (732) 738-6555

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

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Registry record

NPI: 1093965048
Entity type: Organization
NPI issued: 26 Sep 2008
Record last updated: 26 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.