| Ali Weiselberg Dds Pa | |
|
450 Lewis St Fort Lee NJ 07024-2912 | |
| (201) 461-4800 | |
| (201) 461-4448 |
| Full Name | Ali Weiselberg Dds Pa |
|---|---|
| Speciality | Dentist |
| Location | 450 Lewis St, Fort Lee, New Jersey |
| Authorized Official Name and Position | Ali Weiselberg (OWNER/PRESIDENT) |
| Authorized Official Contact | 2015191385 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ali Weiselberg Dds Pa 450 Lewis St Fort Lee NJ 07024-2912 Ph: (201) 461-4800 | Ali Weiselberg Dds Pa 450 Lewis St Fort Lee NJ 07024-2912 Ph: (201) 461-4800 |
| NPI Number | 1477796126 |
|---|---|
| Provider Enumeration Date | 04/10/2009 |
| Last Update Date | 09/09/2015 |
| Medicare PECOS PAC ID | 9133434434 |
|---|---|
| Medicare Enrollment ID | O20150817000228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477796126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI02326500 (New Jersey) | Primary |
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