Michael J Loftus
Oral and Maxillofacial Pathology
10101 Academy Rd Suite 203
Philadelphia
, Pennsylvania 19114-1120
Michael J Loftus
Oral and Maxillofacial Pathology
10101 Academy Rd Suite 203
Philadelphia
, Pennsylvania 19114-1120
(215) 281-3477
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Michael J Loftus
- 10101 Academy Rd. Suite 203
- Philadelphia, PA
- Zip : 19114-1120
- Fax : (215) 281-3477
- Phone : (215) 281-3400
Second Address
- Michael J Loftus
- 10101 Academy Rd Suite 203
- Philadelphia, PA
- Zip : 19114-1120
- Fax : (215) 281-3477
- Phone : (215) 281-3400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | DS-020530-L | PA |
National Provider Identifier
| NPI | 1437258316 |
|---|---|
| Provider Name | Michael J Loftus |
| First Address | Philadelphia, PA 19114-1120 |
| Second Address | Philadelphia, PA 19114-1120 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/09/2006 |
| Last Update Date | 05/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0060844000 | KEYSTONE (01) | PA |
| 023312 | BLUE SHIELD (01) | PA |
| 023312 | PERSONAL CHOICE (01) | PA |
| 2220900 | AETNA (01) | PA |
| T27112 | (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.