Organization
COASTAL ORAL & MAXILLOFACIAL SURGEONS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT S FIEDLER DMD (PRESIDENT)
(609) 927-9090
Entity
Organization
Contact information
Practice address
199 NEW RD, CENTRAL SQUARE SUITE 32, LINWOOD, NJ 08221-2025
(609) 927-9090
(609) 927-9091
Mailing address
199 NEW RD, CENTRAL SQUARE SUITE 32, LINWOOD, NJ 08221-2025
(609) 927-9090
(609) 927-9091
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
017511
NJ
Other
Enumeration date
05/11/2007
Last updated
07/09/2010
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