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NPI Code Detail

MEDICARE: GEORGE FLUGRAD D.M.D., M.S.

MEDICARE: GEORGE FLUGRAD D.M.D., M.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
11223S0112XOral and Maxillofacial Surgery (Dentist)12795NJ

General Provider Information

NPI Number : 1598745531
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGE FLUGRAD D.M.D., M.S.
Provider Business Mailing Address
First Line : 453 AMBOY AVE
Second Line :
City : WOODBRIDGE
State : NJ
Zip : 07095-2960
Country : US
Telephone Number : 732-442-1860
Fax Number : 732-874-5198
Provider Business Practice Location Address
First Line : 453 AMBOY AVE
Second Line :
City : WOODBRIDGE
State : NJ
Zip : 07095-2960
Country : US
Telephone Number : 732-442-1860
Fax Number : 732-874-5198
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2006
Last Update Date : 04/08/2022

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