Provider Demographics
NPI:1821131137
Name:MALINOWSKI, NORMAN ANTHONY (DMD)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:ANTHONY
Last Name:MALINOWSKI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3288 STATE ROUTE 27
Mailing Address - Street 2:
Mailing Address - City:KENDALL PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08824-3823
Mailing Address - Country:US
Mailing Address - Phone:732-296-6777
Mailing Address - Fax:
Practice Address - Street 1:3288 STATE ROUTE 27
Practice Address - Street 2:
Practice Address - City:KENDALL PARK
Practice Address - State:NJ
Practice Address - Zip Code:08824-1450
Practice Address - Country:US
Practice Address - Phone:732-296-6777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ152801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice