-- THADDEUS STANICE BOUCREE -- M.D., DDS
Individual Provider (NPI-1)
Active
Plastic Surgery
Provider Information
- NPI Number
1942464417- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D., DDS
- Status
- Active
Contact & Location
- Address
- 535 SYCAMORE AVE, SHREWSBURY, NJ, 07702
- Phone
- (732) 741-0970
- Fax
- (732) 747-2606
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
License: NJ #25MA10083000
Plastic Surgery
Primary License: NJ #25MA10083000
Plastic Surgery
License: NY #301972