Provider Demographics
NPI:1457488041
Name:POST, JUDITH SAMARA (DMD)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:SAMARA
Last Name:POST
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1460 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-3014
Mailing Address - Country:US
Mailing Address - Phone:973-338-9595
Mailing Address - Fax:973-338-9511
Practice Address - Street 1:1460 BROAD ST
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-3014
Practice Address - Country:US
Practice Address - Phone:973-338-9595
Practice Address - Fax:973-338-9511
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI012614001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice