Mamah, Judith

Mamah, Judith is an individual health care provider with primary practice located at 885 Main St , Hackensack NJ 07601-4914. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Mamah, Judith can be contacted via phone (201) 343-4302.

Contact Information

Primary practice address
885 Main St Hackensack NJ 07601-4914
Phone: (201) 343-4302
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DI20512 New Jersey

Profile Details

NPI number 1760467930
LBN Legal business name Mamah, Judith
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2005
Last updated Jan 14th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760467930 NPPES
New Jersey MEDICAID 7839707

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