Organization
AMERICAN MANAGEMENT GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JEANETTE Z ROBINSON (ORAL SURGEON)
(973) 809-5507
Entity
Organization
Contact information
Practice address
3900 CITY AVENUE APT W1101, PHILADELPHIA, PA 19131
(973) 809-5507
Mailing address
3900 CITY AVE APT W1101, PHILADELPHIA, PA 19131-2963
(973) 809-5507
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS041050
PA
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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