Organization
ASSOCIATED ORAL & MAXILLOFACIAL ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD NEIL TENNENBAUM DMD (PRESIDENT)
(856) 589-7900
Entity
Organization
Contact information
Practice address
474 HURFFVILLE CROSSKEYS RD, SUITE C, SEWELL, NJ 08080-2321
(856) 589-7900
(856) 582-4686
Mailing address
474 HURFFVILLE CROSSKEYS RD, SUITE C, SEWELL, NJ 08080-2321
(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
04/21/2006
Last updated
07/16/2007
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