Ramapo Oral And Maxillofacial Surgery, Pc | |
84 Route 59 Suffern NY 10901-4910 | |
(845) 357-2070 | |
(845) 357-2144 |
Full Name | Ramapo Oral And Maxillofacial Surgery, Pc |
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Speciality | Dentist |
Location | 84 Route 59, Suffern, New York |
Authorized Official Name and Position | David J Caponigro (PRESIDENT) |
Authorized Official Contact | 8453572070 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ramapo Oral And Maxillofacial Surgery, Pc 84 Route 59 Suffern NY 10901-4910 Ph: (845) 357-2070 | Ramapo Oral And Maxillofacial Surgery, Pc 84 Route 59 Suffern NY 10901-4910 Ph: (845) 357-2070 |
NPI Number | 1568521847 |
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Provider Enumeration Date | 12/06/2006 |
Last Update Date | 02/04/2009 |
Medicare PECOS PAC ID | 9436234176 |
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Medicare Enrollment ID | O20080305000634 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568521847 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Provider Name | Drew A Nunziata |
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Provider Type | Practitioner - Maxillofacial Surgery |
Provider Identifiers | NPI Number: 1053638387 PECOS PAC ID: 3072804715 Enrollment ID: I20160628000005 |
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