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Individual

DR. DEAN A. DREZNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
219 N. BROAD STREET, 10TH FLOOR, PHILADELPHIA, PA 19107-1506
(215) 762-6078
(610) 471-0561
Mailing address
219 N. BROAD STREET, 10TH FLOOR, PHILADELPHIA, PA 19107-1506
(215) 762-6078
(610) 471-0561

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
MA53188
NJ
207Y00000X
Otolaryngology Physician
Primary
MD034611E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0012623680007
PA
01
598558
HIGHMARK BLUE SHIELD
PA
Enumeration date
09/20/2006
Last updated
09/21/2018
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