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UNIVERSITY OF PENN - ORAL SURGERY ASSOCIATES

Surgery Yellow Pages

Philadelphia, Pennsylvania

Provider NPI: 1912011321

Organization Information:
Organization Name:  UNIVERSITY OF PENN - ORAL SURGERY ASSOCIATES


Practice Location:
3400 SPRUCE ST 5 WHITE BUILDING PHILADELPHIA, PA 19104 US
Tel: 215-662-3580  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y204E00000XPhysicians
Oral & Maxillofacial Surgery

Other Provider Identifiers:

IssuerNumberStateType
HEALTHPARTNERS07658PA01
AETNA119663PA01
NJ MEDICAID7417705NJ01
HEALTHNET2Y20463PA01
KEYSTONE0060894000PA01
BLUE SHIELD181611PA01
KEYSTONE MERCY1008672PA01
RR MEDICARECA2596PA01
0019334710PA05
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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