DR. Samuel J Mutch

NPI #1467501221 in Medford, New Jersey

Provider Information

NPI Number: 1467501221
Entity Type: Individual
Name: DR. Samuel J Mutch
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Jan 10, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 308 TUCKERTON ROAD
City: Medford
State: New Jersey
ZIP Code: 08055
Phone: (609) 654-2454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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