Defalco, Robert J

Defalco, Robert J is an individual health care provider with primary practice located at 30 W Century Rd Suite 210, Paramus NJ 07652-1433. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Defalco, Robert J can be contacted via phone (201) 261-0170.

Contact Information

Primary practice address
30 W Century Rd Suite 210 Paramus NJ 07652-1433
Phone: (201) 261-0170
Fax: (201) 261-0145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X DI078613 New Jersey

Profile Details

NPI number 1831110345
LBN Legal business name Defalco, Robert J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831110345 NPPES
New Jersey MEDICAID 8069506

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