| Drexel Oral & Maxillofacial Surgery | |
|
207 N Broad St Philadelphia PA 19107-1500 | |
| (215) 561-0562 | |
| (215) 561-0427 |
| Full Name | Drexel Oral & Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 207 N Broad St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | David Janiec (DIRECTOR OF PAYER CONTRACTING) |
| Authorized Official Contact | 2152557766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drexel Oral & Maxillofacial Surgery 1601 Cherry St Suite 11511 Philadelphia PA 19102-1320 Ph: (215) 255-7822 | Drexel Oral & Maxillofacial Surgery 207 N Broad St Philadelphia PA 19107-1500 Ph: (215) 561-0562 |
| NPI Number | 1700981180 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 05/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700981180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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