Individual
DR. IRENA JUG-WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
115 E MAIN ST, MAPLE SHADE, NJ 08052-2621
(856) 779-7450
Mailing address
115 E MAIN ST, MAPLE SHADE, NJ 08052-2621
(856) 779-7450
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI0162910
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DI0162910
DENTAL LICENSE #
NJ
Enumeration date
06/12/2007
Last updated
09/30/2008
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