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Maryam Farag
Oral and Maxillofacial Surgery (Dentist) in Rutherford, New Jersey
NPI 1295076255

Maryam Farag is a Oral and Maxillofacial Surgery (Dentist) based in Rutherford, NJ and is specialized in Oral and Maxillofacial Surgery. Maryam Farag practices in Rutherford, NJ. The NPI Number for Maryam Farag is 1295076255 and holds a License No. (New Jersey).

The current practice location address for Maryam Farag is 41 Preble Pl, Rutherford, NJ and can be reached out via phone at 201-316-5423.

Location: 41 Preble Pl, Rutherford, NJ, 07070-2610
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295076255
Provider Name
Maryam Farag
Credential
Provider Entity Type
Individual
Gender
Female
Address
41 Preble Pl, Rutherford, NJ, 07070-2610
Phone Number
201-316-5423
Fax Number
Provider Enumeration Date
03/14/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
41 Preble Pl
City
Rutherford
State
New Jersey
Zip
07070-2610
Phone Number
201-316-5423
Fax Number
person
Provider Business Mailing Address Details
Address
41 Preble Pl
City
Rutherford
State
New Jersey
Zip
07070-2610
Phone Number
201-316-5423
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
0238832 (New York)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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