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NPI Code Detail

MEDICARE: DR. HOWARD EFRON D.D.S.

MEDICARE: DR. HOWARD EFRON D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDI17595NJ

General Provider Information

NPI Number : 1447525175
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HOWARD EFRON D.D.S.
Provider Business Mailing Address
First Line : PO BOX 2334
Second Line :
City : CLIFTON
State : NJ
Zip : 07015-2334
Country : US
Telephone Number : 973-460-7070
Fax Number :
Provider Business Practice Location Address
First Line : 4100 PARK AVE
Second Line :
City : WEEHAWKEN
State : NJ
Zip : 07086-6196
Country : US
Telephone Number : 973-460-7070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2012
Last Update Date : 03/13/2012

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