| Michael J Hatrak Dmd Pa | |
|
313 Broad St Florence NJ 08518-1911 | |
| (609) 499-3800 | |
| (609) 499-5073 |
| Full Name | Michael J Hatrak Dmd Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 313 Broad St, Florence, New Jersey |
| Authorized Official Name and Position | Michael John Hatrak (PRESIDENT) |
| Authorized Official Contact | 6094993800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Hatrak Dmd Pa 313 Broad St Po Box 318 Florence NJ 08518-1911 Ph: (609) 499-3800 | Michael J Hatrak Dmd Pa 313 Broad St Florence NJ 08518-1911 Ph: (609) 499-3800 |
| NPI Number | 1982726972 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982726972 | NPI | - | NPPES |
| 2002001 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10551 (New Jersey) | Primary |
Scott A. Blum, Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 E Delaware Ave, Florence, NJ 08518 Phone: 609-499-4915 | |
Montalbano Nikoonezhad Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 Broad St, Florence, NJ 08518 Phone: 609-499-3800 |