NPI 1033264460

Peter W. Duda

Practitioner General Practice Dentistry Maplewood, NJ

Practice location

Address: 264 Boyden Ave, Maplewood, NJ 07040-3070
Phone: (973) 761-4910
Fax: (973) 761-8748
Mailing address: 426 Stuyvesant Ave, Irvington, NJ 07111-2002

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence DIO17798 (NJ)

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Registry record

NPI: 1033264460
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jan 2007
Record last updated: 8 Jul 2007

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.