Individual
DR. PETER M FAMIGLIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS026077L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000159506
BC/BS GROUP #
PA
01
—
000525541
BC/BS INDIVIDUAL #
PA
01
—
0113323000
BC/BS INDIVIDUAL HMO#
PA
01
—
0227912000
BC/BS PRACTICE HMO #
PA
Enumeration date
03/29/2006
Last updated
10/12/2018
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