NPI 1366851826

Joseph Zichella, DMD

Practitioner Dentist Maplewood, NJ

Practice location

Address: 2168 Millburn Ave Suite 201, Maplewood, NJ 07040-2640
Phone: (973) 647-0390
Mailing address: 70a Linn Dr, Verona, NJ 07044-3103

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 22DI02553600 (NJ)

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Registry record

NPI: 1366851826
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Aug 2014
Record last updated: 22 Aug 2014

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.