Individual
DR. MARY ANNE CHECCHIO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9525 FRANKFORD AVE, PHILADELPHIA, PA 19114-2812
(215) 333-9696
(215) 333-8514
Mailing address
9525 FRANKFORD AVE, PHILADELPHIA, PA 19114-2812
(215) 333-9696
(215) 333-8514
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DS-026447-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0811240000
KEYSTONE/PERSONAL CHOICE
PA
01
—
AETNA
AETNA US HEALTHCARE
PA
Enumeration date
03/24/2006
Last updated
07/08/2007
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