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Dr. Nicholas Anthony Manoussos, DDS
Student in an Organized Health Care Education/Training Program in Montclair, New Jersey
NPI 1417654849

Nicholas Anthony Manoussos is a Student in an Organized Health Care Education/Training Program based in Lloyd Harbor, NJ. Nicholas Anthony Manoussos practices in Montclair, NJ and has the professional credentials of DDS. The NPI Number for Nicholas Anthony Manoussos is 1417654849 and holds a License No. (New Jersey).

The current practice location address for Nicholas Anthony Manoussos is 1 Bay Ave, Montclair, NJ and can be reached out via phone at 973-429-6888. You can also correspond with Nicholas Anthony Manoussos through the mailing address at 11 SOUNDBAY DR, LLOYD HARBOR, NY - 11743 (mailing address contact number: 631-921-4129).

Location: 1 Bay Ave, Montclair, NJ, 11743
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417654849
Provider Name
Nicholas Anthony Manoussos
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1 Bay Ave, Montclair, NJ, 11743
Phone Number
973-429-6888
Fax Number
Provider Enumeration Date
02/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Bay Ave
City
Montclair
State
New Jersey
Zip
07042-4837
Phone Number
973-429-6888
Fax Number
person
Provider Business Mailing Address Details
Address
1 Bay Ave
City
Montclair
State
New Jersey
Zip
07042-4837
Phone Number
973-429-6888
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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