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NPI Code Detail

MEDICARE: DR. SARAH M MOURAD DMD

MEDICARE:  DR. SARAH M MOURAD  DMD
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
1122300000XDentist22DI02571700NJ

General Provider Information

NPI Number : 1811392095
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARAH M MOURAD DMD
Provider Business Mailing Address
First Line : 841 STONEWALL CT
Second Line :
City : FRANKLIN LAKES
State : NJ
Zip : 07417-1927
Country : US
Telephone Number : 732-429-6436
Fax Number :
Provider Business Practice Location Address
First Line : 1000 MCBRIDE AVE
Second Line :
City : WOODLAND PARK
State : NJ
Zip : 07424-2578
Country : US
Telephone Number : 973-742-5541
Fax Number : 973-742-5541
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2014
Last Update Date : 02/02/2019

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Directions to “ DR. SARAH M MOURAD DMD” Practice Location

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