Organization
A.L. CHECCHIO & G.T. DOWD, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ANNE CHECCHIO DDS (ORAL SURGEON)
(215) 333-9696
Entity
Organization
Contact information
Practice address
9525 FRANKFORD AVE, PHILADELPHIA, PA 19114-2812
(215) 333-9696
(215) 333-8514
Mailing address
9525 FRANKFORD AVENUE, 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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060846000
KEYSTONE/PERSONAL CHOICE
PA
01
—
30994
AETNA US HEALTHCARE
PA
Enumeration date
03/21/2006
Last updated
02/21/2012
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