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DR. MORTON BERENBAUM D.D.S.

Pediatric Dentistry

Bayonne, New Jersey

Provider NPI: 1841341252

Provider Information:
DR. MORTON  BERENBAUM D.D.S.
Gender: M
Sole Proprietor


Practice Location:
124 AVENUE B  BAYONNE, NJ 07002 US
Tel: 201-858-3800  Fax: 201-858-4409

Business Mailing Address:
124 AVENUE B  BAYONNE, NJ 07002 US
Tel: 201-858-3800  Fax: 201-858-4409

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223P0221XDental Providers
Dentist
Pediatric Dentistry
NJ22DI00988200

Other Provider Identifiers:

IssuerNumberStateType
2320401NJ05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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