| John G Colucci, Dmd | |
|
2615 John F Kennedy Blvd Jersey City NJ 07306 | |
| (201) 433-1171 | |
| Not Available |
| Full Name | John G Colucci, Dmd |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2615 John F Kennedy Blvd, Jersey City, New Jersey |
| Authorized Official Name and Position | John Colucci (OWNER) |
| Authorized Official Contact | 2014331171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John G Colucci, Dmd 2615 John F Kennedy Blvd Jersey City NJ 07306 Ph: (201) 433-1171 | John G Colucci, Dmd 2615 John F Kennedy Blvd Jersey City NJ 07306 Ph: (201) 433-1171 |
| NPI Number | 1710405360 |
|---|---|
| Provider Enumeration Date | 09/05/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710405360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 15202 (New Jersey) | Primary |
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