IndividualActive
Admasu Gizachew
NPI 1295072973 · Dentist · Brick, NJ
Provider details
- NPI number
- 1295072973
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 22DI02524100 (NJ)
Mailing address
4720 Center Blvd
Long Island City, NY 11109-5619
Registry dates
- Enumerated
- 2013-01-14
- Last updated
- 2018-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.