OrganizationActive
Maxillofacial Surgical Associates, P.C.
NPI 1942573902 · Oral & Maxillofacial Surgery (D.M.D.) · Philadelphia, PA
Provider details
- NPI number
- 1942573902
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Allan Shaw, President(215) 640-0811
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1601 Walnut St
Suite 1116
Philadelphia, PA 19102-2944
Phone: (215) 640-0811
Fax: (215) 640-0912
Approximate (ZIP-level) locationGet directions
Mailing address
1601 Walnut St
Philadelphia, PA 19102-2944
Registry dates
- Enumerated
- 2012-02-21
- Last updated
- 2012-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.