Dr. Patricia Ann Tordik
Endodontist
110 Bergen St
Newark
, New Jersey 07103-2495
Dr. Patricia Ann Tordik
Endodontist
110 Bergen St
Newark
, New Jersey 07103-2495
(240) 277-2876
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. Patricia Ann Tordik
- 318 Old Mill Rd
- Spring Lake, NJ
- Zip : 07762-1976
- Phone : (240) 277-2876
Second Address
- Dr. Patricia Ann Tordik
- 110 Bergen St
- Newark, NJ
- Zip : 07103-2495
- Fax : (973) 972-0328
- Phone : (973) 972-1674
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223E0200X | Endodontist | 22DI01769800 | NJ |
| Y | 1223E0200X | Endodontist | DI 17698 | NJ |
National Provider Identifier
| NPI | 1104896117 |
|---|---|
| Provider Name | Dr. Patricia Ann Tordik |
| First Address | Spring Lake, NJ 07762-1976 |
| Second Address | Newark, NJ 07103-2495 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/01/2006 |
| Last Update Date | 26/11/2019 |
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.