Gregory M. Shupik, D.m.d., P.a.

NPI 1053538116 - Dentist - 1223P0300X

NPI Details
NPI 1053538116
Enumeration Date 04/19/2007
Last Updated 10/18/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GREGORY M. GREGORY
Position PERIODONTIST
Phone (856) 428-4746
Fax (856) 751-4975
Practice Location
1910 MARLTON PIKE E
SUITE 2
CHERRY HILL NJ, 08003-2123, US
Phone (856) 428-4746
Fax (856) 751-4975
Business Location
1910 MARLTON PIKE E
SUITE 2
CHERRY HILL NJ, 08003-2123, US
Phone (856) 428-4746
Fax (856) 751-4975
Toxanomy
Taxonomy Code 1223P0300X
License State New Jersey
License Number 22DI00971800
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According to our database, Gregory M. Shupik, D.m.d., P.a. NPI is 1053538116, taxonomy code is 1223P0300X and license number is 22DI00971800, license state is located at New Jersey. Gregory M. Shupik, D.m.d., P.a. physically located at 1910 Marlton Pike E, Cherry Hill NJ, 08003-2123. NPI Number 1033115704 has the healthcare provider type.

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1053538116 NPI number is provided on an as is basis without warranty of any kind. 1053538116 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory M. Shupik, D.m.d., P.a. are for informational purposes only.