| Gsrb | |
|
102 Pitman Ave Pitman NJ 08071-1572 | |
| (856) 589-5737 | |
| (856) 589-2670 |
| Full Name | Gsrb |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 102 Pitman Ave, Pitman, New Jersey |
| Authorized Official Name and Position | Rafaela Agosto (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 2673340082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gsrb 102 Pitman Ave Pitman NJ 08071-1572 Ph: (856) 589-5737 | Gsrb 102 Pitman Ave Pitman NJ 08071-1572 Ph: (856) 589-5737 |
| NPI Number | 1467993576 |
|---|---|
| Provider Enumeration Date | 03/09/2017 |
| Last Update Date | 03/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467993576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Pitman Dental Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 W Jersey Ave, Pitman, NJ 08071 Phone: 856-589-3592 Fax: 856-589-1006 | |
Dental Associates At Pitman Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 N Broadway, Pitman, NJ 08071 Phone: 856-589-3803 Fax: 856-589-0371 |