Organization
E. STEVEN MORICONI, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. E STEVEN MORICONI DMD (OWNER)
(215) 884-8263
Entity
Organization
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
—
427879F79
MEDICARE RENDERING PROVID
PA
Enumeration date
01/24/2008
Last updated
01/24/2008
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