Healthcare Provider Details

I. General information

NPI: 1083709729
Provider Name (Legal Business Name): SONIA E FRANCIONI-VULAJ D.M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 02/09/2021
Certification Date: 02/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 OLD HOOK RD STE 202
WESTWOOD NJ
07675-3123
US

IV. Provider business mailing address

260 OLD HOOK RD STE 202
WESTWOOD NJ
07675-3123
US

V. Phone/Fax

Practice location:
  • Phone: 201-664-5656
  • Fax: 201-664-8741
Mailing address:
  • Phone: 201-664-5656
  • Fax: 201-664-8741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number0401411073
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number15436
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: