Boucree, Thaddeus Stanice
Boucree, Thaddeus Stanice is an individual health care provider with primary practice located at 535 Sycamore Ave , Shrewsbury NJ 07702. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Dental Providers / Oral and Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Boucree, Thaddeus Stanice can be contacted via phone (732) 741-0970.Contact Information
Primary practice address
535 Sycamore Ave
Shrewsbury NJ 07702
Phone: (732) 741-0970
Fax: (732) 747-2606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 25MA10083000 | New Jersey |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 25MA10083000 | New Jersey |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 301972 | New York |
Profile Details
| NPI number | 1942464417 |
|---|---|
| LBN Legal business name | Boucree, Thaddeus Stanice |
| Credentials | M.D., DDS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2008 |
| Last updated | May 24th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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