| Ronald Sicilia Oral Surgery Assoc Ltd | |
|
5170 Oxford Ave Phila PA 19124-2532 | |
| (215) 535-2255 | |
| (215) 288-9376 |
| Full Name | Ronald Sicilia Oral Surgery Assoc Ltd |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 5170 Oxford Ave, Phila, Pennsylvania |
| Authorized Official Name and Position | Ronald F Sicilia (PRESIDENT) |
| Authorized Official Contact | 2155352255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald Sicilia Oral Surgery Assoc Ltd 5170 Oxford Ave Phila PA 19124-2532 Ph: (215) 535-2255 | Ronald Sicilia Oral Surgery Assoc Ltd 5170 Oxford Ave Phila PA 19124-2532 Ph: (215) 535-2255 |
| NPI Number | 1194734988 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 06/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194734988 | NPI | - | NPPES |
| 0060875000 | Other | KEYSTONE | |
| 4734 | Other | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS018365L (Pennsylvania) | Primary |
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