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General NPI Number Information
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NPI Number | 1063375848
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Entity Type | Organization
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Legal Business Name | DSM NJ PC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 131 COLUMBIA TPKE STE 2A
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-2181
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Country | US
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Telephone | 973-377-5117
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Fax |
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Provider Business Mailing Address
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Address Line | 131 COLUMBIA TPKE STE 2A
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-2181
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Country | US
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Telephone | 973-377-5117
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHARLES MATARAZZO
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Credential | DMD
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Telephone | 973-377-5117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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