Organization
AFFILIATED ORAL SURGERY GROUP,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH P. FOCARILE D.M.D. (OWNER)
(609) 877-2030
Entity
Organization
Contact information
Practice address
1113 HOSPITAL DR, SUITE 300, WILLINGBORO, NJ 08046-1103
(609) 877-2030
(609) 877-6872
Mailing address
1113 HOSPITAL DR, SUITE 300, WILLINGBORO, NJ 08046-1103
(609) 877-2030
(609) 877-6872
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
15562
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D15562
DENTAL LICENSE
NJ
Enumeration date
01/30/2007
Last updated
08/22/2020
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