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1942573902
MAXILLOFACIAL SURGICAL ASSOCIATES, P.C.
PHILADELPHIA, PA
NPI
1942573902
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Entity Type
Organization
Authorized Contact
ALLAN S. SHAW
President
215-640-0811
Organization Subpart ?
No
Primary Taxonomy
204E00000X Oral & Maxillofacial Surgery
Enumeration Date
2012-02-21
Last Update Date
2012-02-21
Business Address
MAXILLOFACIAL SURGICAL ASSOCIATES, P.C.
1601 WALNUT ST SUITE 1116
PHILADELPHIA, PA 19102-2944
Phone number: 215-640-0811
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Mailing Address
MAXILLOFACIAL SURGICAL ASSOCIATES, P.C.
1601 WALNUT ST SUITE 1116
PHILADELPHIA, PA 19102-2944
Phone number: 215-640-0811
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