Lookup NPI Numbers from the NPI Registry
NPI Profile for Dr ROBERT J DIECIDUE in PHILADELPHIA, PA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery | |
Oral and Maxillofacial Surgery |
1223S0112X | 19 | Oral Surgery (Dentist only) |
| NPI # | 1225069818 |
|
| Status | Active | |
| Credentials | DMD, MD | |
| Entity | Individual | |
| Enumeration date | 07/05/2006 | |
| Last updated | 08/23/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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ROBERT J DIECIDUE
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ROBERT J DIECIDUE, DMD, MD