| Richard P Charmoy Dmd Llc | |
|
78 East Main Street Somerville NJ 08876 | |
| (908) 722-9222 | |
| (908) 231-0334 |
| Full Name | Richard P Charmoy Dmd Llc |
|---|---|
| Speciality | Dentist |
| Location | 78 East Main Street, Somerville, New Jersey |
| Authorized Official Name and Position | Richard Peter Charmoy (OWNER) |
| Authorized Official Contact | 9087229222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard P Charmoy Dmd Llc 78 East Main Street Somerville NJ 08876 Ph: (908) 722-9222 | Richard P Charmoy Dmd Llc 78 East Main Street Somerville NJ 08876 Ph: (908) 722-9222 |
| NPI Number | 1275802902 |
|---|---|
| Provider Enumeration Date | 12/27/2011 |
| Last Update Date | 05/01/2012 |
| Medicare PECOS PAC ID | 7810158284 |
|---|---|
| Medicare Enrollment ID | O20120411000372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275802902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22D101516000 (New Jersey) | Primary |
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