Provider Demographics
NPI:1962620203
Name:DENTAL ASSOCIATES OF HOBOKEN PA
Entity type:Organization
Organization Name:DENTAL ASSOCIATES OF HOBOKEN PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSARRA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:201-795-2111
Mailing Address - Street 1:233 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-4738
Mailing Address - Country:US
Mailing Address - Phone:201-795-2111
Mailing Address - Fax:201-795-0666
Practice Address - Street 1:233 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-4738
Practice Address - Country:US
Practice Address - Phone:201-795-2111
Practice Address - Fax:201-795-0666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental