Provider Demographics
NPI:1114013141
Name:LITWIN, BARRY J (DDS)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:J
Last Name:LITWIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:578 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:NUTLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07110-1253
Mailing Address - Country:US
Mailing Address - Phone:973-667-3515
Mailing Address - Fax:973-667-8633
Practice Address - Street 1:578 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:NUTLEY
Practice Address - State:NJ
Practice Address - Zip Code:07110-1253
Practice Address - Country:US
Practice Address - Phone:973-667-3515
Practice Address - Fax:973-667-8633
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ99441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice