| Bgaw Treatment | |
|
206 Montrose Ave South Orange NJ 07079-2417 | |
| (973) 640-0732 | |
| Not Available |
| Full Name | Bgaw Treatment |
|---|---|
| Speciality | Dentist |
| Location | 206 Montrose Ave, South Orange, New Jersey |
| Authorized Official Name and Position | Barry Glassman (OWNER) |
| Authorized Official Contact | 9082580341 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bgaw Treatment 206 Montrose Ave South Orange NJ 07079-2417 Ph: (973) 640-0732 | Bgaw Treatment 206 Montrose Ave South Orange NJ 07079-2417 Ph: (973) 640-0732 |
| NPI Number | 1982087656 |
|---|---|
| Provider Enumeration Date | 06/30/2015 |
| Last Update Date | 06/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982087656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DI018205 (Pennsylvania) | Primary |
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