Healthcare Provider Details

I. General information

NPI: 1972243509
Provider Name (Legal Business Name): ELIZABETH CORTE TRAMONTANA DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2022
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

69 LINCOLN HWY
EDISON NJ
08820-3983
US

IV. Provider business mailing address

77 TROY DR APT A
SPRINGFIELD NJ
07081-2050
US

V. Phone/Fax

Practice location:
  • Phone: 732-494-7575
  • Fax:
Mailing address:
  • Phone: 908-517-6030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number22DI02908000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: