NPI 1912011321

University of Penn - Oral Surgery Associates

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

Practice location

Address: 3400 Spruce St 5 White Building, Philadelphia, PA 19104-4206
Phone: (215) 662-3580
Fax: (215) 662-7445
Mailing address: 3624 Market St Suite 560w, Philadelphia, PA 19104-2614

Authorised official

Name: Elizabeth Johnston
Title: Executive Director
Phone: (215) 662-7583

Registered specialties

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

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

Other Oral & Maxillofacial Surgery providers in Pennsylvania →

Registry record

NPI: 1912011321
Entity type: Organization
NPI issued: 19 Aug 2006
Record last updated: 6 Jan 2014

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.