Individual provider · NPI-1

Dr. Drew W Fairweather, D.M.D.

Dentist, General Practice · Bridgewater, NJ

NPI number1356418941
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1356418941
Entity type
Individual (NPI-1)
Name
Dr. Drew W Fairweather
Credential
D.M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 29, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice15233NJYes

Practice location

201 Union Ave
Bldg. 2, Suite A-1
Bridgewater, NJ 08807-3002

Phone 908-722-7902 · Fax 908-722-7057

Mailing address

201 Union Ave
Bldg. 2, Suite A-1
Bridgewater, NJ 08807-3002

Phone 908-722-7902 · Fax 908-722-7057

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