Healthcare Provider Details

I. General information

NPI: 1447233192
Provider Name (Legal Business Name): HOVLIARAS AND GUARNIERI PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2005
Last Update Date: 08/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 ROUTE 10 WEST
SUCCASUNNA NJ
07876
US

IV. Provider business mailing address

26 ROUTE 10 WEST
SUCCASUNNA NJ
07876
US

V. Phone/Fax

Practice location:
  • Phone: 862-251-7140
  • Fax: 862-251-7142
Mailing address:
  • Phone: 862-251-7140
  • Fax: 862-251-7142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. PAMELA A. HOVLIARAS
Title or Position: DENTIST/OWNER PRESIDENT
Credential: DMD
Phone: 862-251-7140