Boucree, Thaddeus Stanice

Boucree, Thaddeus Stanice is an individual health care provider with primary practice located at 535 Sycamore Ave , Shrewsbury NJ 07702. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Dental Providers / Oral and Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Boucree, Thaddeus Stanice can be contacted via phone (732) 741-0970.

Contact Information

Primary practice address
535 Sycamore Ave Shrewsbury NJ 07702
Fax: (732) 747-2606
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 25MA10083000 New Jersey
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 25MA10083000 New Jersey
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 301972 New York

Profile Details

NPI number 1942464417
LBN Legal business name Boucree, Thaddeus Stanice
Credentials M.D., DDS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2008
Last updated May 24th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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