RABIE M SHANTI DMD, MD
Individual Provider (NPI-1)
Active
Oral & Maxillofacial Surgery
Provider Information
- NPI Number
1811202633- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DMD, MD
- Status
- Active
Contact & Location
- Address
- 110 BERGEN ST RM B-854, NEWARK, NJ, 071032495
- Phone
- (739) 972-3126
- Fax
- (973) 972-7322
Specialties & Taxonomies
Oral & Maxillofacial Surgery
License: PA #MD458380
Otolaryngology
License: PA #MD458380
Otolaryngology, Sleep Medicine
License: PA #MD458380
Oral & Maxillofacial Surgery
Primary License: NJ #22DI02438500