| Associated Oral & Maxillofacial Associates, P.a. | |
|
474 Hurffville Crosskeys Rd Suite C Sewell NJ 08080-2321 | |
| (856) 589-7900 | |
| (856) 582-4686 |
| Full Name | Associated Oral & Maxillofacial Associates, P.a. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 474 Hurffville Crosskeys Rd, Sewell, New Jersey |
| Authorized Official Name and Position | Richard Neil Tennenbaum (PRESIDENT) |
| Authorized Official Contact | 8565897900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Associated Oral & Maxillofacial Associates, P.a. 474 Hurffville Crosskeys Rd Suite C Sewell NJ 08080-2321 Ph: (856) 589-7900 | Associated Oral & Maxillofacial Associates, P.a. 474 Hurffville Crosskeys Rd Suite C Sewell NJ 08080-2321 Ph: (856) 589-7900 |
| NPI Number | 1699731570 |
|---|---|
| Provider Enumeration Date | 04/21/2006 |
| Last Update Date | 07/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699731570 | NPI | - | NPPES |
| 2901404 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 10192 (New Jersey) | Primary |
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