Fresolone, George Joseph

Fresolone, George Joseph is an individual health care provider with primary practice located at 32 Hine St , Paterson NJ 07503-2955. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Fresolone, George Joseph can be contacted via phone (973) 881-7800.

Contact Information

Primary practice address
32 Hine St Paterson NJ 07503-2955
Phone: (973) 881-7800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 22DI01100900 New Jersey

Profile Details

NPI number 1215154265
LBN Legal business name Fresolone, George Joseph
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Jul 8th, 2007 - about 18 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 1215154265 NPPES
New Jersey MEDICAID 1696700

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