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Provider Information for 1447539879



DR. PHILIP S MESSER DDS

Gender: MALE

Individual NPI: 1447539879

Calendar   Last Updated:  2012-07-06
  Certification Date: 

Details

Name Value
NPI 1447539879
Enumeration Date 2011-08-16
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 116 WASHINGTON ST APT 5
HOBOKEN, NJ 07030-4648
United States

Phone: 732-266-5298 | Fax:
View Map External Link
Primary Practice Address 10 W HANOVER AVE SUITE 101
RANDOLPH, NJ 07869-4221
United States

Phone: 973-895-4333 | Fax:
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 122300000X - Dentist NJ 22DI02479300