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Provider Information for 1043348832



DR. STEVEN M. GERZOFF DDS

Gender: MALE

Individual NPI: 1043348832

Calendar Last Updated: 2008-04-23

Details

Name Value
NPI 1043348832
Enumeration Date 2007-03-01
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 777 BLACKWOOD CLEMENTON ROAD
LINDENWOLD, NJ 08021
United States

Phone: 856-346-8868 | Fax: 856-346-8615
View Map External Link
Primary Practice Address 777 BLACKWOOD CLEMENTON RD
LINDENWOLD, NJ 08021-5966
United States

Phone: 856-346-8868 | Fax: 856-346-8615
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice NJ 22D101151900