# MARSHALL GERSON D.D.S. P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053325431
- **Authorized official:** DR. MARSHALL GERSON D.D.S. (PRES.)
- **Authorized official phone:** (856) 256-1778

## Contact information

- **Practice address:** 4 MONROE AVE., GLASSBORO, NJ 08028
- **Practice address phone:** (856) 256-1778
- **Practice address fax:** (856) 256-9866
- **Mailing address:** PO BOX 8, GLASSBORO, NJ 08028-0008
- **Mailing address phone:** (856) 256-1778
- **Mailing address fax:** (856) 256-9866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D100766100 | NJ | Yes |

## Other

- **Enumeration date:** 07/28/2006
- **Last updated:** 02/09/2009