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NPI Code Detail

MEDICARE: DR. OQBA MEMAR D.M.D

MEDICARE: DR. OQBA MEMAR 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 DentistryDS039575PA

General Provider Information

NPI Number : 1760815328
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. OQBA MEMAR D.M.D
Provider Business Mailing Address
First Line : 3223 N BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19140-5007
Country : US
Telephone Number : 215-707-2890
Fax Number :
Provider Business Practice Location Address
First Line : 3223 N BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19140-5007
Country : US
Telephone Number : 215-707-2890
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2013
Last Update Date : 01/15/2026

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