Provider Demographics
NPI:1194902221
Name:DRS. ALLORA AND LANDSMAN
Entity type:Organization
Organization Name:DRS. ALLORA AND LANDSMAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:SETH
Authorized Official - Last Name:LANDSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:973-661-5200
Mailing Address - Street 1:175 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:NUTLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07110-3819
Mailing Address - Country:US
Mailing Address - Phone:973-661-5200
Mailing Address - Fax:973-661-0959
Practice Address - Street 1:175 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:NUTLEY
Practice Address - State:NJ
Practice Address - Zip Code:07110-3819
Practice Address - Country:US
Practice Address - Phone:973-661-5200
Practice Address - Fax:973-661-0959
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DRS. ALLORA AND LANDSMAN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-31
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ91551223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial PathologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ019964Medicare PIN