Organization
PERIODONTAL ASSOCIATES OF SOUTHERN NEW JERSEY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS EISENBERG D.D.S. (PRESIDENT)
(856) 589-9233
Entity
Organization
Contact information
Practice address
100B KINGS WAY W, SEWELL, NJ 08080-2235
(856) 589-9233
(856) 582-2439
Mailing address
100B KINGS WAY W, SEWELL, NJ 08080-2235
(856) 589-9233
(856) 582-2439
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
04/19/2007
Last updated
08/22/2020
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