Healthcare Provider Details
I. General information
NPI: 1386507036
Provider Name (Legal Business Name): ROBERT J GAROFALO, DDS PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
356 WARREN AVE
STIRLING NJ
07980-1462
US
IV. Provider business mailing address
356 WARREN AVE
STIRLING NJ
07980-1462
US
V. Phone/Fax
- Phone: 908-647-6220
- Fax: 908-647-1910
- Phone: 908-647-6220
- Fax: 908-647-1910
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ROBERT
GAROFALO
Title or Position: DENTIST/PRESIDENT
Credential: DDS
Phone: 908-647-6220