Dr. Robert J Diecidue
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
909 Walnut St 3rd Floor, Cob
Philadelphia
, Pennsylvania 19107-5211
Dr. Robert J Diecidue
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
909 Walnut St 3rd Floor, Cob
Philadelphia
, Pennsylvania 19107-5211
(215) 923-9189
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Robert J Diecidue
- 909 Walnut St 3rd Floor, Cob
- Philadelphia, PA
- Zip : 19107-5211
- Fax : (215) 923-9189
- Phone : (215) 955-6215
Second Address
- Dr. Robert J Diecidue
- 909 Walnut St 3rd Floor, Cob
- Philadelphia, PA
- Zip : 19107-5211
- Fax : (215) 923-9189
- Phone : (215) 955-6215
Reviews
FAQs
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In what state does Dr. Robert J Diecidue practice in?
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Is Dr. Robert J Diecidue a sole practitioner?
Is Dr. Robert J Diecidue accepting new patients?
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Does Dr. Robert J Diecidue have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223S0112X | Oral and Maxillofacial Surgeon | DS026243L | PA |
| Y | 204E00000X | Oral & Maxillofacial Surgeon | MD421272 | PA |
National Provider Identifier
| NPI | 1225069818 |
|---|---|
| Provider Name | Dr. Robert J Diecidue |
| First Address | Philadelphia, PA 19107-5211 |
| Second Address | Philadelphia, PA 19107-5211 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/07/2006 |
| Last Update Date | 23/08/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0012768190002 | (05) | PA |
| T30747 | (02) | PA |
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.