Oral And Maxillofacial Surgery, Inc. | |
830 Oak St Suite 101w Brockton MA 02301-1168 | |
(508) 586-5445 | |
(508) 586-1736 |
Full Name | Oral And Maxillofacial Surgery, Inc. |
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Speciality | Dentist |
Location | 830 Oak St, Brockton, Massachusetts |
Authorized Official Name and Position | Richard J Catrambone (OWNER) |
Authorized Official Contact | 5085865445 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Oral And Maxillofacial Surgery, Inc. 830 Oak St Suite 101w Brockton MA 02301-1168 Ph: (508) 586-5445 | Oral And Maxillofacial Surgery, Inc. 830 Oak St Suite 101w Brockton MA 02301-1168 Ph: (508) 586-5445 |
NPI Number | 1750458451 |
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Provider Enumeration Date | 11/29/2006 |
Last Update Date | 12/05/2012 |
Medicare PECOS PAC ID | 5991749202 |
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Medicare Enrollment ID | O20050617000227 |
Identifier | Type | State | Issuer |
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1750458451 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Provider Name | Meredith August |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1780667147 PECOS PAC ID: 1557318474 Enrollment ID: I20050404000326 |
Provider Name | Nalton F Ferraro |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1760551600 PECOS PAC ID: 5890742647 Enrollment ID: I20050404000606 |
Provider Name | Richard J Catrambone |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1538132956 PECOS PAC ID: 1355502824 Enrollment ID: I20120410000017 |
Provider Name | Jennifer Frangos |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1316173537 PECOS PAC ID: 0244458784 Enrollment ID: I20140826000840 |
Provider Name | Sajal Swaroop |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1548600216 PECOS PAC ID: 8325318595 Enrollment ID: I20170720001157 |
Provider Name | Anthony J Cerciello |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1578083564 PECOS PAC ID: 3678977709 Enrollment ID: I20210811001125 |
Provider Name | Johanna M Hauer |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1568818136 PECOS PAC ID: 3971898982 Enrollment ID: I20220725001286 |
Provider Name | Karina Catrambone |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1326605767 PECOS PAC ID: 6709245822 Enrollment ID: I20230707002487 |
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