Provider Demographics
NPI:1144218397
Name:MORCOS, SAFINAZ L (DDS)
Entity Type:Individual
Prefix:DR
First Name:SAFINAZ
Middle Name:L
Last Name:MORCOS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 ANDERSON ST
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-4578
Mailing Address - Country:US
Mailing Address - Phone:201-457-1010
Mailing Address - Fax:201-457-1540
Practice Address - Street 1:32 ANDERSON ST
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-4578
Practice Address - Country:US
Practice Address - Phone:201-457-1010
Practice Address - Fax:201-457-1540
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ194191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6698000Medicaid