Dr. Deborah Bruce Cleveland
Oral and Maxillofacial Pathology
110 Bergen Street Njds, D860
Newark
, New Jersey 07101-1709
Dr. Deborah Bruce Cleveland
Oral and Maxillofacial Pathology
110 Bergen Street Njds, D860
Newark
, New Jersey 07101-1709
(973) 325-3493
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Dr. Deborah Bruce Cleveland
- 18 Rock Spring Rd
- West Orange, NJ
- Zip : 07052-3007
- Fax : (973) 325-3493
- Phone : (973) 669-0535
Second Address
- Dr. Deborah Bruce Cleveland
- 110 Bergen Street Njds, D860
- Newark, NJ
- Zip : 07101-1709
- Fax : (973) 972-3164
- Phone : (973) 972-2453
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | 22DI02109500 | NJ |
National Provider Identifier
| NPI | 1881653129 |
|---|---|
| Provider Name | Dr. Deborah Bruce Cleveland |
| First Address | West Orange, NJ 07052-3007 |
| Second Address | Newark, NJ 07101-1709 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/03/2006 |
| Last Update Date | 28/06/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U21041 | (02) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.