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Organization
SOUTH JERSEY PROSTHODONTIC ASSOC. PA
Active
Organization
SOUTH JERSEY PROSTHODONTIC ASSOC. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN R COHEN DDS (PRESIDENT)
(856) 424-7177
Entity
Organization
Contact information
Practice address
1793 SPRINGDALE RD, CHERRY HILL, NJ 08003-2136
(856) 424-7177
(856) 424-0896
Mailing address
1793 SPRINGDALE RD, CHERRY HILL, NJ 08003-2136
(856) 424-7177
(856) 424-0896
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2965402
—
NJ
Enumeration date
11/20/2006
Last updated
07/01/2010
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