Brian R Haber Dds & Joseph A Ilacqua Dds Pc

NPI 1093732000 - Oral & Maxillofacial Surgery - 204E00000X

NPI Details
NPI 1093732000
Enumeration Date 07/16/2006
Last Updated 06/18/2008
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name JOSEPH ANTHONY JOSEPH
Position PRESIDENT OWNER
Phone (610) 275-0500
Fax (610) 275-1054
Practice Location
2603 DEKALB PIKE
NORRISTOWN PA, 19401, US
Phone (610) 275-0500
Fax (610) 275-1054
Business Location
2603 DEKALB PIKE
NORRISTOWN PA, 19401, US
Phone (610) 275-0500
Fax (610) 275-1054
Toxanomy
Taxonomy Code 204E00000X
License State Pennsylvania
License Number DS019424L
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According to our database, Brian R Haber Dds & Joseph A Ilacqua Dds Pc NPI is 1093732000, taxonomy code is 204E00000X and license number is DS019424L, license state is located at Pennsylvania. Brian R Haber Dds & Joseph A Ilacqua Dds Pc physically located at 2603 Dekalb Pike, Norristown PA, 19401. NPI Number 1033115704 has the healthcare provider type.

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1093732000 NPI number is provided on an as is basis without warranty of any kind. 1093732000 is maintained by the National Plan & Provider Enumeration System. The contents of Brian R Haber Dds & Joseph A Ilacqua Dds Pc are for informational purposes only.