Dr. Maria Lena Fornatora
Oral and Maxillofacial Pathology
3223 N Broad St
Philadelphia
, Pennsylvania 19140-5007
Dr. Maria Lena Fornatora
Oral and Maxillofacial Pathology
3223 N Broad St
Philadelphia
, Pennsylvania 19140-5007
(215) 887-7997
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Dr. Maria Lena Fornatora
- 1044 Jenkintown Rd
- Jenkintown, PA
- Zip : 19046-3845
- Phone : (215) 887-7997
Second Address
- Dr. Maria Lena Fornatora
- 3223 N Broad St
- Philadelphia, PA
- Zip : 19140-5007
- Phone : (215) 707-4202
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | DS029718L | PA |
National Provider Identifier
| NPI | 1841456720 |
|---|---|
| Provider Name | Dr. Maria Lena Fornatora |
| First Address | Jenkintown, PA 19046-3845 |
| Second Address | Philadelphia, PA 19140-5007 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/07/2008 |
| Last Update Date | 31/07/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.