| Stuart A Wasserlauf Dds Pa | |
|
776 Grove Rd West Deptford NJ 08086 | |
| (856) 848-2211 | |
| (856) 848-8630 |
| Full Name | Stuart A Wasserlauf Dds Pa |
|---|---|
| Speciality | Dentist |
| Location | 776 Grove Rd, West Deptford, New Jersey |
| Authorized Official Name and Position | Anthony J Kash (DENTIST/OWNER/PARTNER) |
| Authorized Official Contact | 8568482211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stuart A Wasserlauf Dds Pa 776 Grove Rd West Deptford NJ 08086 Ph: (856) 848-2211 | Stuart A Wasserlauf Dds Pa 776 Grove Rd West Deptford NJ 08086 Ph: (856) 848-2211 |
| NPI Number | 1881735702 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 11/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881735702 | NPI | - | NPPES |
| 2618605 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 14133 (New Jersey) | Primary |
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