Organization
READING ORAL SURGERY GROUP, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL R FARRELL DMD (DOCTOR)
(610) 777-7646
Entity
Organization
Contact information
Practice address
517 E LANCASTER AVE, SHILLINGTON, PA 19607-1364
(610) 777-7646
(610) 777-7570
Mailing address
517 E LANCASTER AVE, SHILLINGTON, PA 19607-1364
(610) 777-7646
(610) 777-7570
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005247430001
—
PA
05
—
0005247430002
—
PA
01
—
02979300
CAPITAL BLUE CROSS
PA
01
—
039397
HIGHMARK BLUE SHIELD
PA
01
—
18602
HEALTH AM/HEALTH ASSURANC
PA
Enumeration date
09/21/2006
Last updated
04/20/2008
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