| E Gerald Coopersmith Dmd | |
|
2305 N. Wood Ave Roselle NJ 07203-2931 | |
| (908) 241-2114 | |
| (908) 241-6001 |
| Full Name | E Gerald Coopersmith Dmd |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2305 N. Wood Ave, Roselle, New Jersey |
| Authorized Official Name and Position | Amy Lu (OFFICE MANAGER) |
| Authorized Official Contact | 9082412114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| E Gerald Coopersmith Dmd 2305 Wood Ave Roselle NJ 07203-2931 Ph: (908) 241-2114 | E Gerald Coopersmith Dmd 2305 N. Wood Ave Roselle NJ 07203-2931 Ph: (908) 241-2114 |
| NPI Number | 1649439910 |
|---|---|
| Provider Enumeration Date | 06/03/2008 |
| Last Update Date | 06/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649439910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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