Provider Demographics
NPI:1881808020
Name:ALBERG, PAUL W (DMD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:W
Last Name:ALBERG
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 1:3508 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:WEEHAWKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07086-6006
Mailing Address - Country:US
Mailing Address - Phone:201-864-4730
Mailing Address - Fax:201-865-2000
Practice Address - Street 1:3508 PARK AVE
Practice Address - Street 2:
Practice Address - City:WEEHAWKEN
Practice Address - State:NJ
Practice Address - Zip Code:07086-6006
Practice Address - Country:US
Practice Address - Phone:201-864-4730
Practice Address - Fax:201-865-2000
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI013635001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice