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General NPI Number Information
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NPI Number | 1689667149
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Entity Type | Organization
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Legal Business Name | WESTWOOD ORAL SURGERY ASSOCIATES PA
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Dates
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Enumeration Date | 08/30/2005
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Last Update Date | 11/30/2022
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Provider Practice Location Address
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Address Line | 992 MANTUA PIKE SUITE 302
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City | WOODBURY HEIGHTS
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State | NJ
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Zip | 08097-1246
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Country | US
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Telephone | 856-845-1341
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Fax | 856-384-9067
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Provider Business Mailing Address
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Address Line | 992 MANTUA PIKE SUITE 302
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City | WOODBURY HEIGHTS
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State | NJ
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Zip | 08097-1246
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Country | US
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Telephone | 856-845-1341
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Fax | 856-384-9067
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Authorized Official
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Title or Position | ORAL SURGEON
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Name | DR. DOUGLAS H SEEGER
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Credential | DMD, MD
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Telephone | 856-845-1341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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