Provider Demographics
NPI:1659451466
Name:FRASCELLA, ROBERT ANTHONY JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ANTHONY
Last Name:FRASCELLA
Suffix:JR
Gender:M
Credentials:DDS
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Mailing Address - Street 1:2279 HIGHWAY 33
Mailing Address - Street 2:SUITE 504
Mailing Address - City:HAMILTON SQUARE
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-1750
Mailing Address - Country:US
Mailing Address - Phone:609-584-7200
Mailing Address - Fax:609-584-5556
Practice Address - Street 1:2279 HIGHWAY 33
Practice Address - Street 2:SUITE 504
Practice Address - City:HAMILTON SQUARE
Practice Address - State:NJ
Practice Address - Zip Code:08690-1750
Practice Address - Country:US
Practice Address - Phone:609-584-7200
Practice Address - Fax:609-584-5556
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NJDI0173851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice