Individual
DR. CHARLES EDWARD NOCCO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
440 FRONT ST, ELMER, NJ 08318-2177
(856) 358-8303
(856) 358-9145
Mailing address
PO BOX 617, ELMER, NJ 08318-0617
(856) 858-8303
(856) 358-9145
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22D100832300
NJ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DSO16237L
PA
Other
Enumeration date
09/12/2005
Last updated
07/08/2007
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