Individual
CHAD REBHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2301 E EVESHAM RD STE 211, VOORHEES, NJ 08043-4504
(256) 772-1500
Mailing address
850 HARRISON AVE, 5TH FLOOR, BOSTON, MA 02118-4001
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
204E00000X
MA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DI02630100
NJ
Other
Enumeration date
04/30/2012
Last updated
08/27/2019
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