Mutch, Samuel J

Mutch, Samuel J is an individual health care provider with primary practice located at 308 Tuckerton Road , Medford NJ 08055. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mutch, Samuel J can be contacted via phone (609) 654-2454.

Contact Information

Primary practice address
308 Tuckerton Road Medford NJ 08055
Phone: (609) 654-2454
Fax: (609) 654-6568
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 18508 New Jersey

Profile Details

NPI number 1467501221
LBN Legal business name Mutch, Samuel J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467501221 NPPES
New Jersey MEDICAID 7585306

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