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NPI Code Detail

MEDICARE: DR. ANDA CIORA DDS

MEDICARE: DR. ANDA CIORA DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist02059NY

General Provider Information

NPI Number : 1962481507
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDA CIORA DDS
Provider Business Mailing Address
First Line : 326 MURRAY AVE
Second Line :
City : ENGLEWOOD
State : NJ
Zip : 07631-1420
Country : US
Telephone Number : 201-567-4603
Fax Number :
Provider Business Practice Location Address
First Line : 17 S WARREN ST
Second Line :
City : DOVER
State : NJ
Zip : 07801-4506
Country : US
Telephone Number : 973-328-9100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2006
Last Update Date : 03/22/2013

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