| Epp New Jersey Llc | |
|
71 Valley St Ste 100 South Orange NJ 07079-2825 | |
| (862) 250-6952 | |
| Not Available |
| Full Name | Epp New Jersey Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 71 Valley St Ste 100, South Orange, New Jersey |
| Authorized Official Name and Position | Jason Bertollini (CREDENTIALING MANAGER) |
| Authorized Official Contact | 3154500763 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Epp New Jersey Llc Po Box 1584 Brentwood TN 37024-1584 Ph: (315) 450-0763 | Epp New Jersey Llc 71 Valley St Ste 100 South Orange NJ 07079-2825 Ph: (862) 250-6952 |
| NPI Number | 1194546770 |
|---|---|
| Provider Enumeration Date | 10/17/2024 |
| Last Update Date | 10/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194546770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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