New Jersey Center for Oral & Maxillofacial Surgery
NPI #1619221827 in Maywood, New Jersey
Provider Information
- NPI Number
- 1619221827
- Entity Type
- Organization
- Organization Name
- New Jersey Center for Oral & Maxillofacial Surgery
- Primary Specialty
- Oral & Maxillofacial Surgery
- Enumeration Date
- Nov 9, 2012
- Last Updated
- Sep 15, 2015
Practice Location
- Address
- 949 SPRING VALLEY RD
- City
- Maywood
- State
- New Jersey
- ZIP Code
- 07607-1452
- Phone
- (201) 712-5556
Authorized Official
- Name
- MICHAEL COSTELLO, DMD
- Title
- OWNER
- Phone
- (201) 712-5556
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
| Oral & Maxillofacial Surgery |
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