Affiliated Oral Surgery Group,pc | |
1113 Hospital Dr Suite 300 Willingboro NJ 08046-1103 | |
(609) 877-2030 | |
(609) 877-6872 |
Full Name | Affiliated Oral Surgery Group,pc |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 1113 Hospital Dr, Willingboro, New Jersey |
Authorized Official Name and Position | Joseph P. Focarile (OWNER) |
Authorized Official Contact | 6098772030 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Affiliated Oral Surgery Group,pc 1113 Hospital Dr Suite 300 Willingboro NJ 08046-1103 Ph: (609) 877-2030 | Affiliated Oral Surgery Group,pc 1113 Hospital Dr Suite 300 Willingboro NJ 08046-1103 Ph: (609) 877-2030 |
NPI Number | 1265578850 |
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Provider Enumeration Date | 01/30/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265578850 | NPI | - | NPPES |
D15562 | Other | NJ | DENTAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 15562 (New Jersey) | Primary |
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