Organization
DREXEL UNIVERSITY
Active
Other names
Drexel Oral & Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JANIEC (DIRECTOR OF PAYER CONTRACTING)
(215) 255-7766
Entity
Organization
Contact information
Practice address
207 N BROAD ST, PHILADELPHIA, PA 19107-1500
(215) 561-0562
(215) 561-0427
Mailing address
1601 CHERRY ST, SUITE 11511, PHILADELPHIA, PA 19102-1320
(215) 255-7822
(215) 255-7825
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/13/2006
Last updated
05/27/2014
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