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Dr. Lisa Abigail Wortzel, DMD
Student in an Organized Health Care Education/Training Program in Mountainside, New Jersey
NPI 1366881682

Lisa Abigail Wortzel is a Student in an Organized Health Care Education/Training Program based in Mountainside, NJ. Lisa Abigail Wortzel practices in Mountainside, NJ and has the professional credentials of DMD. The NPI Number for Lisa Abigail Wortzel is 1366881682 and holds a License No. (New Jersey).

The current practice location address for Lisa Abigail Wortzel is 1122 Route 22, Mountainside, NJ and can be reached out via phone at 908-654-5151.

Location: 1122 Route 22, Mountainside, NJ, 07092-2812
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366881682
Provider Name
Lisa Abigail Wortzel
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
1122 Route 22, Mountainside, NJ, 07092-2812
Phone Number
908-654-5151
Fax Number
Provider Enumeration Date
06/19/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1122 Route 22
City
Mountainside
State
New Jersey
Zip
07092-2812
Phone Number
908-654-5151
Fax Number
person
Provider Business Mailing Address Details
Address
1122 Route 22
City
Mountainside
State
New Jersey
Zip
07092-2812
Phone Number
908-654-5151
Fax Number
person
Provider's Taxonomy Details 1
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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