# STUART A WASSERLAUF DDS PA

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

## Provider details

- **NPI number:** 1881735702
- **Authorized official:** DR. ANTHONY J KASH JR. DMD (DENTIST/OWNER/PARTNER)
- **Authorized official phone:** (856) 848-2211

## Contact information

- **Practice address:** 776 GROVE RD, WEST DEPTFORD, NJ 08086
- **Practice address phone:** (856) 848-2211
- **Practice address fax:** (856) 848-8630
- **Mailing address:** 776 GROVE RD, WEST DEPTFORD, NJ 08086
- **Mailing address phone:** (856) 848-2211
- **Mailing address fax:** (856) 848-8630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 14133 | NJ | Yes |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 11/16/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2618605 | — | NJ |