Gregory M. Shupik, D.m.d., P.a. | |
1910 Marlton Pike E Suite 2 Cherry Hill NJ 08003-2123 | |
(856) 428-4746 | |
(856) 751-4975 |
Full Name | Gregory M. Shupik, D.m.d., P.a. |
---|---|
Speciality | Dentist - Periodontics |
Location | 1910 Marlton Pike E, Cherry Hill, New Jersey |
Authorized Official Name and Position | Gregory M. Shupik (PERIODONTIST) |
Authorized Official Contact | 8564284746 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gregory M. Shupik, D.m.d., P.a. 1910 Marlton Pike E Suite 2 Cherry Hill NJ 08003-2123 Ph: (856) 428-4746 | Gregory M. Shupik, D.m.d., P.a. 1910 Marlton Pike E Suite 2 Cherry Hill NJ 08003-2123 Ph: (856) 428-4746 |
NPI Number | 1053538116 |
---|---|
Provider Enumeration Date | 04/19/2007 |
Last Update Date | 10/18/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053538116 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | 22DI00971800 (New Jersey) | Primary |
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