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Organization
SJ SPECIALTY GROUP LLC
Active
Organization
SJ SPECIALTY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICHOLA RICH (OFFICE MANAGER)
(856) 983-9620
Entity
Organization
Contact information
Practice address
151 GREENTREE RD STE AA, MARLTON, NJ 08053-9416
(856) 983-9620
(856) 983-7714
Mailing address
151 GREENTREE RD STE AA, MARLTON, NJ 08053-9416
(856) 983-9620
(856) 983-7714
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
07/19/2017
Last updated
07/21/2022
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