Individual
JAY ALBANESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
300 OLD FORGE LN STE 301, KENNETT SQUARE, PA 19348-1897
(484) 926-6001
(484) 926-6002
Mailing address
300 OLD FORGE LN STE 301, KENNETT SQUARE, PA 19348-1932
(484) 926-6001
(484) 926-6002
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS039439
PA
208600000X
Surgery Physician
MD457711
PA
Other
Enumeration date
04/21/2010
Last updated
02/26/2021
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