| Fort Lee Orthodontic Associates Pc | |
|
2185 Lemoine Ave Fort Lee NJ 07024-6036 | |
| (201) 944-9208 | |
| (201) 944-3630 |
| Full Name | Fort Lee Orthodontic Associates Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2185 Lemoine Ave, Fort Lee, New Jersey |
| Authorized Official Name and Position | Jon Ethan Golub (PRESIDENT) |
| Authorized Official Contact | 2019449208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Lee Orthodontic Associates Pc 2185 Lemoine Ave Fort Lee NJ 07024-6036 Ph: (201) 944-9208 | Fort Lee Orthodontic Associates Pc 2185 Lemoine Ave Fort Lee NJ 07024-6036 Ph: (201) 944-9208 |
| NPI Number | 1033296959 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033296959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (New Jersey) | Primary |
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