| Prousi Oral & Facial Surgery, Llc | |
|
1900 Mount Holly Rd Building 500 Burlington Township NJ 08016-4722 | |
| (609) 526-8650 | |
| (609) 526-8640 |
| Full Name | Prousi Oral & Facial Surgery, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1900 Mount Holly Rd, Burlington Township, New Jersey |
| Authorized Official Name and Position | Anthony Prousi (OWNER / SURGEON) |
| Authorized Official Contact | 6095268650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prousi Oral & Facial Surgery, Llc 1900 Mount Holly Rd Building 500 Burlington Township NJ 08016-4722 Ph: (609) 526-8650 | Prousi Oral & Facial Surgery, Llc 1900 Mount Holly Rd Building 500 Burlington Township NJ 08016-4722 Ph: (609) 526-8650 |
| NPI Number | 1154860120 |
|---|---|
| Provider Enumeration Date | 02/23/2017 |
| Last Update Date | 02/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154860120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 22DI02541600 (New Jersey) | Primary |
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