Individual
WILLIAM J DENNIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3823 J ST, PHILA, PA 19124-5405
(215) 288-0157
(215) 288-4764
Mailing address
3823 J ST, PHILA, PA 19124-5405
(215) 288-0157
(215) 288-4764
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD011421E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0055536001
KEYSTONE HEALTH PLAN EAST
—
05
—
00652930
—
PA
01
—
1025945
KEYSTONE MERCY
—
01
—
118185
AETNA
—
01
—
16766
BCBS
—
01
—
6130173A
CIGNA
—
Enumeration date
05/15/2006
Last updated
07/08/2007
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