Individual
DR. E. STEVEN MORICONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
609 HARPER AVE, JENKINTOWN, PA 19046-3206
(215) 884-8263
(215) 886-8975
Mailing address
609 HARPER AVE, JENKINTOWN, PA 19046-3206
(215) 884-8263
(215) 886-8975
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS021089L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17815
AETNA
PA
01
—
427879
IBC/HIGHMARK BLUE SHIELD
PA
01
—
427879F79
MEDICARE RENDERING PROVID
PA
Enumeration date
07/20/2005
Last updated
10/31/2007
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