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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
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice NJ 22DI01821400