NPI 1942573902

Maxillofacial Surgical Associates, P.C.

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

Practice location

Address: 1601 Walnut St Suite 1116, Philadelphia, PA 19102-2944
Phone: (215) 640-0811
Fax: (215) 640-0912

Authorised official

Name: Allan S. Shaw
Title: President
Phone: (215) 640-0811

Registered specialties

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

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

Other Oral & Maxillofacial Surgery providers in Pennsylvania →

Registry record

NPI: 1942573902
Entity type: Organization
NPI issued: 21 Feb 2012
Record last updated: 21 Feb 2012

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.