NPI 1093732000

Brian R Haber DDS & Joseph a Ilacqua DDS PC

Organisation Oral & Maxillofacial Surgery (D.M.D.) Norristown, PA

Practice location

Address: 2603 Dekalb Pike, Norristown, PA 19401
Phone: (610) 275-0500
Fax: (610) 275-1054

Authorised official

Name: Joseph Anthony Ilacqua
Title: President Owner
Phone: (610) 275-0500

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence DS022706L (PA)

Other Oral & Maxillofacial Surgery providers in Pennsylvania →

Oral & Maxillofacial Surgery (D.M.D.)

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence DS019424L (PA)

Registry record

NPI: 1093732000
Entity type: Organization
NPI issued: 16 Jul 2006
Record last updated: 18 Jun 2008

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.