Organization
ORAL SURGERY ASSOC.,LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVERETT P. BORGHESANI DDS (PRESIDENT)
(610) 688-6682
Entity
Organization
Contact information
Practice address
223 W LANCASTER AVE, DEVON, PA 19333-1583
(610) 688-6682
(610) 971-0481
Mailing address
223 W LANCASTER AVE, DEVON, PA 19333-1583
(610) 688-6682
(610) 971-0481
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
15594L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0026814000
KEYSTONE
PA
01
—
405476
BLUES OTHER
PA
01
—
4451977
AETNA
PA
Enumeration date
04/17/2006
Last updated
08/22/2020
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