| Beam St Edgewater | |
|
725 River Rd #104 Edgewater NJ 07020 | |
| (201) 509-1032 | |
| Not Available |
| Full Name | Beam St Edgewater |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 725 River Rd, Edgewater, New Jersey |
| Authorized Official Name and Position | Shawn Gutman (OWNER) |
| Authorized Official Contact | 2015091032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beam St Edgewater P.o Box #1238 Fort Lee NJ 07024 | Beam St Edgewater 725 River Rd #104 Edgewater NJ 07020 Ph: (201) 509-1032 |
| NPI Number | 1457038903 |
|---|---|
| Provider Enumeration Date | 06/28/2023 |
| Last Update Date | 06/28/2023 |
| Certification Date | 06/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457038903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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