| Compassionate Care Oral Surgery Llc | |
|
1035 N Black Horse Pike Suite #7 Williamstown NJ 08094-2840 | |
| (856) 740-1300 | |
| (856) 740-1302 |
| Full Name | Compassionate Care Oral Surgery Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1035 N Black Horse Pike, Williamstown, New Jersey |
| Authorized Official Name and Position | Rebekah Brevard (ORAL SURGEON) |
| Authorized Official Contact | 6093857843 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassionate Care Oral Surgery Llc 1035 N Black Horse Pike Suite #7 Williamstown NJ 08094-2840 Ph: (856) 740-1300 | Compassionate Care Oral Surgery Llc 1035 N Black Horse Pike Suite #7 Williamstown NJ 08094-2840 Ph: (856) 740-1300 |
| NPI Number | 1962857573 |
|---|---|
| Provider Enumeration Date | 05/02/2016 |
| Last Update Date | 05/02/2016 |
| Medicare PECOS PAC ID | 0244522472 |
|---|---|
| Medicare Enrollment ID | O20160708001401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962857573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 22DIO2212104 (New Jersey) | Primary |
| Provider Name | Rebekah R Brevard |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1982607891 PECOS PAC ID: 1759313521 Enrollment ID: I20051026000020 |
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