Individual provider · Type 1 NPI

Andrea Diane Haber-Cohen, DMD, MD

Oral and Maxillofacial Surgery (Dentist) · Philadelphia, PA

NPI number 1609079953 Active

Practice location

3223 N Broad St, Ompms
Philadelphia, PA 19140-5007

Fax (215) 707-5492

Mailing address

4 Greenhill Ln
Wynnewood, PA 19096-3422

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDS022160-L (PA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1609079953

Andrea Diane Haber-Cohen, DMD, MD's National Provider Identifier is 1609079953, issued on Jun 6, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 8, 2007.