E. Steven Moriconi in Jenkintown - Oral And Maxillofacial Surgery

E. Steven Moriconi - NPI 1043219108

E. Steven Moriconi is a Oral And Maxillofacial Surgery in Jenkintown, Pennsylvania. E. Steven Moriconi practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for E. Steven Moriconi is 1043219108. The last update date is 2007-10-31.

E. Steven Moriconi's current location address is 609 Harper Ave, Jenkintown, Pennsylvania. You can contact this provider via phone number 2158848263 and fax number 2158868975. The mailing address for E. Steven Moriconi is 609 Harper Ave, Jenkintown, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name E. Steven Moriconi
Address 609 Harper Ave, Jenkintown, Pennsylvania
Phone Number 2158848263
Fax Number 2158868975
Sole Proprietor Y
Credentials D.M.D.

NPI Number Detail

NPI Number 1043219108
Provider Enumeration Date 2005-07-20
Last Updated Date 2007-10-31

Provider Mailing Address Detail

Address 609 Harper Ave
City Jenkintown
State Pennsylvania (PA)
Post Code 190463206
Phone Number 2158848263
Fax Number 2158868975

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No DS021089L
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
427879F79 PA MEDICARE RENDERING PROVID
17815 PA AETNA
427879 PA IBC/HIGHMARK BLUE SHIELD

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FAQs about E. Steven Moriconi

What is the unique 10-digit identifier code assigned to E. Steven Moriconi by the Centers for Medicare & Medicaid Services?

The E. Steven Moriconi has been issued the NPI (National Provider Identifier) 1043219108 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where E. Steven Moriconi is physically located?

The E. Steven Moriconi is situated at the following address: 609 Harper Ave, Jenkintown, PA 190463206.

What is E. Steven Moriconi's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for E. Steven Moriconi is Oral And Maxillofacial Surgery, and the taxonomy code that classifies this field of practice is 1223S0112X.

On what date did the Centers for Medicare & Medicaid Services issue the 1043219108 to E. Steven Moriconi?

The E. Steven Moriconi received its 1043219108 assignment from the Centers for Medicare & Medicaid Services on 2005-07-20.

As of what date were the details pertaining to E. Steven Moriconi last refreshed?

The information related to the E. Steven Moriconi, including its address, specialty, and other relevant details, was last updated on 2007-10-31.

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