Compassionate Care Oral Surgery LLC
Clinic/Center in Williamstown, NJ. Organization (NPI-2).
NPI number1962857573
StatusActive
Last updated in NPPESMay 2, 2016
Details
- NPI
- 1962857573
- Entity type
- Organization (NPI-2)
- Legal business name
- Compassionate Care Oral Surgery LLC
- Organization subpart
- No
- Enumeration date
- May 2, 2016
- Last updated
- May 2, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 22DIO2212104 | NJ | Yes |
Practice location
1035 N Black Horse PikeSuite #7
Williamstown, NJ 08094-2840
Phone 856-740-1300 · Fax 856-740-1302
Mailing address
1035 N Black Horse PikeSuite #7
Williamstown, NJ 08094-2840
Phone 856-740-1300 · Fax 856-740-1302
Authorized official
Rebekah Brevard
Oral Surgeon
6093857843
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