| John A. Kush, D.m.d., Llc | |
|
1484 Highway 31 Annandale NJ 08801 | |
| (908) 730-0090 | |
| Not Available |
| Full Name | John A. Kush, D.m.d., Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1484 Highway 31, Annandale, New Jersey |
| Authorized Official Name and Position | John A. Kush (OWNER/DENTIST) |
| Authorized Official Contact | 9087300090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John A. Kush, D.m.d., Llc 47 La Costa Dr Annandale NJ 08801-1663 Ph: (908) 730-7119 | John A. Kush, D.m.d., Llc 1484 Highway 31 Annandale NJ 08801 Ph: (908) 730-0090 |
| NPI Number | 1699257535 |
|---|---|
| Provider Enumeration Date | 09/06/2018 |
| Last Update Date | 09/06/2018 |
| Medicare PECOS PAC ID | 8022356245 |
|---|---|
| Medicare Enrollment ID | O20190214000311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699257535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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