Individual provider · Type 1 NPI
Maryam Farag
Oral and Maxillofacial Surgery (Dentist) · Rutherford, NJ
NPI number
1295076255
Active
Practice location
41 Preble Pl
Rutherford, NJ 07070-2610
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 0238832 (NY) |
Oral and Maxillofacial Surgery (Dentist): 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.
About NPI 1295076255
Maryam Farag's National Provider Identifier is 1295076255, issued on Mar 14, 2013. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Rutherford, NJ. The record was last updated on Dec 2, 2020.