Mark J Funt
Oral & Maxillofacial Surgeon
401 Township Line Rd Ste C
Elkins Park
, Pennsylvania 19027-2202
Mark J Funt
Oral & Maxillofacial Surgeon
401 Township Line Rd Ste C
Elkins Park
, Pennsylvania 19027-2202
(215) 663-5934
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Mark J Funt
- 401 Township Line Rd Ste C
- Elkins Park, PA
- Zip : 19027-2202
- Fax : (215) 663-5934
- Phone : (215) 379-5520
Second Address
- Mark J Funt
- 401 Township Line Rd Ste C
- Elkins Park, PA
- Zip : 19027-2202
- Fax : (215) 663-5934
- Phone : (215) 379-5520
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | DS019726L | PA |
National Provider Identifier
| NPI | 1407945280 |
|---|---|
| Provider Name | Mark J Funt |
| First Address | Elkins Park, PA 19027-2202 |
| Second Address | Elkins Park, PA 19027-2202 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/10/2006 |
| Last Update Date | 23/05/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| T75670 | (02) |
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.