Medford Periodontal Associates, Llc | |
30 Jackson Rd Suite A-5 Medford NJ 08055-9283 | |
(609) 953-3700 | |
Not Available |
Full Name | Medford Periodontal Associates, Llc |
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Speciality | Dentist - Periodontics |
Location | 30 Jackson Rd, Medford, New Jersey |
Authorized Official Name and Position | Bernard Calem (OWNER) |
Authorized Official Contact | 6099533700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Medford Periodontal Associates, Llc 30 Jackson Rd Suite A-5 Medford NJ 08055-9283 Ph: (609) 953-3700 | Medford Periodontal Associates, Llc 30 Jackson Rd Suite A-5 Medford NJ 08055-9283 Ph: (609) 953-3700 |
NPI Number | 1184808743 |
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Provider Enumeration Date | 12/19/2007 |
Last Update Date | 08/13/2024 |
Identifier | Type | State | Issuer |
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1184808743 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0300X | Dentist - Periodontics | 22DI01653900 (New Jersey) | Primary |
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