Healthcare Provider Details

I. General information

NPI: 1962473504
Provider Name (Legal Business Name): RARITAN VALLEY ORTHODONTICS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 RT 202 NORTH
RARITAN NJ
08869
US

IV. Provider business mailing address

901 RT 202 NORTH
RARITAN NJ
08869
US

V. Phone/Fax

Practice location:
  • Phone: 908-231-1860
  • Fax: 908-231-7945
Mailing address:
  • Phone: 908-231-1860
  • Fax: 908-231-7945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number StateNJ

VIII. Authorized Official

Name: DR. FREDERIC C STERRITT
Title or Position: PRESIDENT
Credential:
Phone: 908-231-1860