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Individual

DR. PETER M FAMIGLIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
25 DOWLIN FORGE RD, EXTON, PA 19341-1548
(610) 363-7000
(610) 363-7687
Mailing address
25 DOWLIN FORGE RD, EXTON, PA 19341-1548
(610) 363-7000
(610) 363-7687

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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