Convissar, Brad J
Convissar, Brad J is an individual health care provider with primary practice located at 2 Rancocas Blvd , Mount Laurel NJ 08054-2057. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Convissar, Brad J can be contacted via phone (856) 778-8655.Contact Information
Primary practice address
2 Rancocas Blvd
Mount Laurel NJ 08054-2057
Phone: (856) 778-8655
Fax: (856) 231-7480
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 22DI02233900 | New Jersey |
Profile Details
| NPI number | 1316009871 |
|---|---|
| LBN Legal business name | Convissar, Brad J |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Dec 31st, 2021 - about 3 years 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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