Organization
GREGORY M. SHUPIK, D.M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY M. SHUPIK D.M.D. (PERIODONTIST)
(856) 428-4746
Entity
Organization
Contact information
Practice address
1910 MARLTON PIKE E, SUITE 2, CHERRY HILL, NJ 08003-2123
(856) 428-4746
(856) 751-4975
Mailing address
1910 MARLTON PIKE E, SUITE 2, CHERRY HILL, NJ 08003-2123
(856) 428-4746
(856) 751-4975
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
22DI00971800
NJ
Other
Enumeration date
04/19/2007
Last updated
10/18/2011
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