Individual
DR. PHILIP STEPHEN PASCUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1616 ROUTE 72 W, MANAHAWKIN, NJ 08050-5131
(609) 891-8071
Mailing address
101 CAMPBELL BLVD 8304, MANAHAWKIN, NJ 08050-6223
(504) 756-6227
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02539700
NJ
Other
Enumeration date
07/01/2013
Last updated
11/13/2015
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