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NPI Code Detail

MEDICARE: DR. HOWARD F NEILSON D.M.D.

MEDICARE: DR. HOWARD F NEILSON D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDS019599LPA

General Provider Information

NPI Number : 1700904711
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HOWARD F NEILSON D.M.D.
Provider Business Mailing Address
First Line : 301 W CHESTER PIKE
Second Line : SUITE 202
City : HAVERTOWN
State : PA
Zip : 19083-4530
Country : US
Telephone Number : 610-789-9400
Fax Number : 610-789-2841
Provider Business Practice Location Address
First Line : 301 W CHESTER PIKE
Second Line : SUITE 202
City : HAVERTOWN
State : PA
Zip : 19083-4530
Country : US
Telephone Number : 610-789-9400
Fax Number : 610-789-2841
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2007
Last Update Date : 07/08/2007

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