Individual
DR. RICHARD NEIL TENNENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
474 HURFFVILLE CROSSKEYS RD, STE C, SEWELL, NJ 08080-2321
(856) 589-7900
(856) 582-4686
Mailing address
474 HURFFVILLE-CROSS KEYS ROAD, SUITE C, SEWELL, NJ 08080-2319
(856) 589-7900
(856) 582-4686
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10192
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2901404
—
NJ
Enumeration date
06/21/2005
Last updated
10/18/2007
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