| South Jersey Prosthodontic Assoc. Pa | |
|
1793 Springdale Rd Cherry Hill NJ 08003-2136 | |
| (856) 424-7177 | |
| (856) 424-0896 |
| Full Name | South Jersey Prosthodontic Assoc. Pa |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 1793 Springdale Rd, Cherry Hill, New Jersey |
| Authorized Official Name and Position | Stephen R Cohen (PRESIDENT) |
| Authorized Official Contact | 8564247177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Jersey Prosthodontic Assoc. Pa 1793 Springdale Rd Cherry Hill NJ 08003-2136 Ph: (856) 424-7177 | South Jersey Prosthodontic Assoc. Pa 1793 Springdale Rd Cherry Hill NJ 08003-2136 Ph: (856) 424-7177 |
| NPI Number | 1174697973 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 07/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174697973 | NPI | - | NPPES |
| 2965402 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | (New Jersey) | Primary |
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