| Pecoraro Periodontics | |
|
445 Watchung Ave Watchung NJ 07069-4956 | |
| (908) 753-4427 | |
| (908) 756-7019 |
| Full Name | Pecoraro Periodontics |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 445 Watchung Ave, Watchung, New Jersey |
| Authorized Official Name and Position | Melissa Lucille Pecoraro (OWNER) |
| Authorized Official Contact | 9087534427 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pecoraro Periodontics P.o. Box 7127 Watchung NJ 07069-9994 Ph: (908) 753-4427 | Pecoraro Periodontics 445 Watchung Ave Watchung NJ 07069-4956 Ph: (908) 753-4427 |
| NPI Number | 1336494756 |
|---|---|
| Provider Enumeration Date | 07/23/2012 |
| Last Update Date | 07/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336494756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 22DI02152900 (New Jersey) | Primary |
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