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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
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice NJ 22D101151900
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location