| |
681 Centerton Rd Pittsgrove NJ 08318-3946 | |
(856) 358-6800 | |
Not Available |
Full Name | |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 681 Centerton Rd, Pittsgrove, New Jersey |
Authorized Official Name and Position | Steven Michael Cohen (OWNER/PARTNER) |
Authorized Official Contact | 8563586800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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681 Centerton Rd Pittsgrove NJ 08318-3946 Ph: (856) 358-6800 | 681 Centerton Rd Pittsgrove NJ 08318-3946 Ph: (856) 358-6800 |
NPI Number | 1861208175 |
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Provider Enumeration Date | 12/10/2024 |
Last Update Date | 12/10/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861208175 | NPI | - | NPPES |
1548280654 | Other | PA | NPPES |
1427503051 | Other | PA | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |