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Gerald Convissar, DDS
NPI 1336200518 · on the registry since 2006
Practice
- Address
- 2 Rancocas Blvd
Mount Laurel, NJ 08054 - Phone
- (856) 778-8655
- Fax
- (856) 231-7480
- Organisation at this address
- Bradley J Convissar Dmd Pa
Gerald S. Convissar Dds PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey