| Gregory M. Shupik, D.m.d., P.a. | |
|
1910 Marlton Pike E Suite 2 Cherry Hill NJ 08003-2123 | |
| (856) 428-4746 | |
| (856) 751-4975 |
| Full Name | Gregory M. Shupik, D.m.d., P.a. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1910 Marlton Pike E, Cherry Hill, New Jersey |
| Authorized Official Name and Position | Gregory M. Shupik (PERIODONTIST) |
| Authorized Official Contact | 8564284746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory M. Shupik, D.m.d., P.a. 1910 Marlton Pike E Suite 2 Cherry Hill NJ 08003-2123 Ph: (856) 428-4746 | Gregory M. Shupik, D.m.d., P.a. 1910 Marlton Pike E Suite 2 Cherry Hill NJ 08003-2123 Ph: (856) 428-4746 |
| NPI Number | 1053538116 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 10/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053538116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 22DI00971800 (New Jersey) | Primary |
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