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Organization

M.MINCER DDS & H.BERMAN DMD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EUGENIA O'DONNELL (ADMINISTRATOR)
(610) 356-5660
Entity
Organization

Contact information

Practice address
3536 RHOADS AVE, NEWTOWN SQUARE, PA 19073-3702
(610) 356-5660
(610) 356-1902
Mailing address
3536 RHOADS AVE, NEWTOWN SQUARE, PA 19073-3702
(610) 356-5660
(610) 356-1902

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
879781
UNITED CONCORDIA PROVIDER
PA
Enumeration date
03/13/2007
Last updated
08/13/2008
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