| Gerald J Whiteman Dds Pa | |
|
2515 Highway 516 Old Bridge NJ 08857 | |
| (732) 679-3600 | |
| (732) 679-2801 |
| Full Name | Gerald J Whiteman Dds Pa |
|---|---|
| Speciality | Dentist |
| Location | 2515 Highway 516, Old Bridge, New Jersey |
| Authorized Official Name and Position | Gerald Jay Whiteman (PRESIDENT) |
| Authorized Official Contact | 7326793600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald J Whiteman Dds Pa 2515 Highway 516 Old Bridge NJ 08857 Ph: (732) 679-3600 | Gerald J Whiteman Dds Pa 2515 Highway 516 Old Bridge NJ 08857 Ph: (732) 679-3600 |
| NPI Number | 1740367317 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740367317 | NPI | - | NPPES |
| 3468607 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22D100767800 (New Jersey) | Primary |
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