MEDICARE: WESTWOOD ORAL SURGERY ASSOCIATES PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	17706	OTHER	AETNA
2	CN0708	OTHER	GROUP PTAN
3	008536900	OTHER	AMERIHEALTH MANAGED CARE
4	0085369001	OTHER	MHS LEGACY
5	159702	OTHER	AMERIHEALTH PPO

General Provider Information

NPI Number	:	1689667149
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTWOOD ORAL SURGERY ASSOCIATES PA

Provider Business Mailing Address
First Line	:	992 MANTUA PIKE
Second Line	:	SUITE 302
City	:	WOODBURY HEIGHTS
State	:	NJ
Zip	:	08097-1246
Country	:	US
Telephone Number	:	856-845-1341
Fax Number	:	856-384-9067

Provider Business Practice Location Address
First Line	:	992 MANTUA PIKE
Second Line	:	SUITE 302
City	:	WOODBURY HEIGHTS
State	:	NJ
Zip	:	08097-1246
Country	:	US
Telephone Number	:	856-845-1341
Fax Number	:	856-384-9067

Authorized Official
Title or Position	:	ORAL SURGEON
Name	:	DR. DOUGLAS H SEEGER
Credential	:	DMD, MD
Telephone Number	:	856-845-1341

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	11/30/2022

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