Ear Nose Throat Facial Plastic Surgery Specialists PC
Otolaryngology in Willow Grove, PA. Organization (NPI-2).
NPI number1780016360
StatusActive
Last updated in NPPESAug 6, 2013
Details
- NPI
- 1780016360
- Entity type
- Organization (NPI-2)
- Legal business name
- Ear Nose Throat Facial Plastic Surgery Specialists PC
- Organization subpart
- No
- Enumeration date
- Aug 6, 2013
- Last updated
- Aug 6, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | – | – | Yes |
Practice location
723 Fitzwatertown RdWillow Grove, PA 19090-1337
Phone 215-659-8805
Mailing address
723 Fitzwatertown RdWillow Grove, PA 19090-1337
Authorized official
Joshua E Goldberg
President
2156598805
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