NPI 1083004998

Upper Darby Smile PC

Organisation Health Maintenance Organization Upper Darby, PA

Practice location

Address: 6776 Market St, Upper Darby, PA 19082-2432
Phone: (215) 431-4898

Authorised official

Name: Glenn Aurthor Brown
Title: Director
Phone: (215) 431-4898

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence DS023270L (PA)

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Registry record

NPI: 1083004998
Entity type: Organization
NPI issued: 30 Jan 2015
Record last updated: 30 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.