Brunswick Periodontal Associates, P.a. | |
1254 State Route 27 North Brunswick NJ 08902-1765 | |
(732) 846-6366 | |
(732) 846-0135 |
Full Name | Brunswick Periodontal Associates, P.a. |
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Speciality | Dentist - Periodontics |
Location | 1254 State Route 27, North Brunswick, New Jersey |
Authorized Official Name and Position | Mark Steven Schambra (PRESIDENT) |
Authorized Official Contact | 7328466366 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brunswick Periodontal Associates, P.a. 1254 State Route 27 North Brunswick NJ 08902-1765 Ph: (732) 846-6366 | Brunswick Periodontal Associates, P.a. 1254 State Route 27 North Brunswick NJ 08902-1765 Ph: (732) 846-6366 |
NPI Number | 1780898601 |
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Provider Enumeration Date | 05/09/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1780898601 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | D17565 (New Jersey) | Primary |
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