Provider Demographics
NPI:1518189794
Name:CJ & JP GALDIERI, PTR
Entity Type:Organization
Organization Name:CJ & JP GALDIERI, PTR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:GALDIERI
Authorized Official - Suffix:SR
Authorized Official - Credentials:DDS
Authorized Official - Phone:973-539-2292
Mailing Address - Street 1:290 MADISON AVENUE
Mailing Address - Street 2:BLDG 1-B
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960
Mailing Address - Country:US
Mailing Address - Phone:973-539-2292
Mailing Address - Fax:
Practice Address - Street 1:290 MADISON AVENUE
Practice Address - Street 2:BLDG 1-B
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960
Practice Address - Country:US
Practice Address - Phone:973-539-2292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI0086351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty