Organization
PECORARO PERIODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA LUCILLE PECORARO D.M.D. (OWNER)
(908) 753-4427
Entity
Organization
Contact information
Practice address
445 WATCHUNG AVE, WATCHUNG, NJ 07069-4956
(908) 753-4427
(908) 756-7019
Mailing address
P.O. BOX 7127, WATCHUNG, NJ 07069-9994
(908) 753-4427
(908) 756-7019
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
22DI02152900
NJ
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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