Pecoraro Periodontics | |
445 Watchung Ave Watchung NJ 07069-4956 | |
(908) 753-4427 | |
(908) 756-7019 |
Full Name | Pecoraro Periodontics |
---|---|
Speciality | Dentist - Periodontics |
Location | 445 Watchung Ave, Watchung, New Jersey |
Authorized Official Name and Position | Melissa Lucille Pecoraro (OWNER) |
Authorized Official Contact | 9087534427 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pecoraro Periodontics P.o. Box 7127 Watchung NJ 07069-9994 Ph: (908) 753-4427 | Pecoraro Periodontics 445 Watchung Ave Watchung NJ 07069-4956 Ph: (908) 753-4427 |
NPI Number | 1336494756 |
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Provider Enumeration Date | 07/23/2012 |
Last Update Date | 07/23/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336494756 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | 22DI02152900 (New Jersey) | Primary |
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