South Jersey Prosthodontic Assoc. Pa | |
1793 Springdale Rd Cherry Hill NJ 08003-2136 | |
(856) 424-7177 | |
(856) 424-0896 |
Full Name | South Jersey Prosthodontic Assoc. Pa |
---|---|
Speciality | Dentist - Prosthodontics |
Location | 1793 Springdale Rd, Cherry Hill, New Jersey |
Authorized Official Name and Position | Stephen R Cohen (PRESIDENT) |
Authorized Official Contact | 8564247177 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
South Jersey Prosthodontic Assoc. Pa 1793 Springdale Rd Cherry Hill NJ 08003-2136 Ph: (856) 424-7177 | South Jersey Prosthodontic Assoc. Pa 1793 Springdale Rd Cherry Hill NJ 08003-2136 Ph: (856) 424-7177 |
NPI Number | 1174697973 |
---|---|
Provider Enumeration Date | 11/20/2006 |
Last Update Date | 07/01/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174697973 | NPI | - | NPPES |
2965402 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0700X | Dentist - Prosthodontics | (New Jersey) | Primary |
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