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Individual

DR. DREW W FAIRWEATHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
201 UNION AVE, BLDG. 2, SUITE A-1, BRIDGEWATER, NJ 08807-3002
(908) 722-7902
(908) 722-7057
Mailing address
201 UNION AVE, BLDG. 2, SUITE A-1, BRIDGEWATER, NJ 08807-3002
(908) 722-7902
(908) 722-7057

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15233
NJ

Other

Enumeration date
11/29/2006
Last updated
07/08/2007
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