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Provider Information for 1184793051



DR. JON R FERRARI DDS

Gender: MALE

Individual NPI: 1184793051

Calendar Last Updated: 2007-07-08

Details

Name Value
NPI 1184793051
Enumeration Date 2006-11-07
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 150 RIVER ROAD BLDG KL AB
MONTVILLE, NJ 07045
United States

Phone: 973-263-2967 | Fax: 973-263-4193
View Map External Link
Primary Practice Address 150 RIVER ROAD BLDG KL AB
MONTVILLE, NJ 07045
United States

Phone: 973-263-2967 | Fax: 973-263-4193
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice NJ 22DI01821400
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location