Paul A Condouris is a Dentist in Glen Ridge, New Jersey. Paul A Condouris practices all healthcare services and medical treatments related to Dentist. The NPI Number for Paul A Condouris is 1730165804. The last update date is 2007-07-08.
Paul A Condouris's current location address is 89 Glen Ridge Ave, Glen Ridge, New Jersey. You can contact this provider via phone number 9737436092 and fax number 9734293671. The mailing address for Paul A Condouris is 89 Glen Ridge Ave, Glen Ridge, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul A Condouris |
|---|---|
| Address | 89 Glen Ridge Ave, Glen Ridge, New Jersey |
| Phone Number | 9737436092 |
| Fax Number | 9734293671 |
| Sole Proprietor | X |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1730165804 |
|---|---|
| Provider Enumeration Date | 2005-12-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 89 Glen Ridge Ave |
|---|---|
| City | Glen Ridge |
| State | New Jersey (NJ) |
| Post Code | 70281413 |
| Phone Number | 9737436092 |
| Fax Number | 9734293671 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 11738 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the Paul A Condouris's unique identification number?
The Paul A Condouris has been assigned the NPI (National Provider Identifier) Number 1730165804 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Paul A Condouris's physical address?
The Paul A Condouris is physically located at 89 Glen Ridge Ave, in the city of Glen Ridge, NJ, with the postal code 70281413.
What is the Paul A Condouris's area of specialization and corresponding taxonomy classification?
The Paul A Condouris's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Paul A Condouris receive the assignment of its 1730165804 from the Centers for Medicare & Medicaid Services?
The Paul A Condouris was issued its 1730165804 by the Centers for Medicare & Medicaid Services on 2005-12-20.
When was the information regarding Paul A Condouris, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Paul A Condouris, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.