| University John H. Cronin Dental Center | |
|
235 Dolphin Ave Northfield NJ 08225-2015 | |
| (609) 645-5814 | |
| (609) 645-5872 |
| Full Name | University John H. Cronin Dental Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 235 Dolphin Ave, Northfield, New Jersey |
| Authorized Official Name and Position | David Bolger (CODE DIRECTOR) |
| Authorized Official Contact | 6096455814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University John H. Cronin Dental Center 110 Bergen St Rsdm Room D-954 Newark NJ 07103-2495 Ph: () - | University John H. Cronin Dental Center 235 Dolphin Ave Northfield NJ 08225-2015 Ph: (609) 645-5814 |
| NPI Number | 1407069107 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 05/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407069107 | NPI | - | NPPES |
| 0018384 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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