Surgery Yellow Pages

General, Orthopedic, Thoracic, Vascular Surgery
Plastic, Cosmetic, Oral, Podiatric Surgery

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DR. ROBERT J DIECIDUE DMD, MD

Surgery Yellow Pages

Philadelphia, Pennsylvania

Provider NPI: 1225069818

Provider Information:
DR. ROBERT J DIECIDUE DMD, MD


Practice Location:
909 WALNUT ST 3RD FLOOR, COB PHILADELPHIA, PA 19107 US
Tel: 215-955-6215  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N1223S0112XDental Providers
Dentist
Oral and Maxillofacial Surgery
PADS026243L
Y204E00000XPhysicians
Oral & Maxillofacial Surgery
PAMD421272

Other Provider Identifiers:

IssuerNumberStateType
0012768190002PA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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