NPI | 1003995705 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL PAUL BRODSKY O PT Ometrist 610-266-6666 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG-000155) |
Enumeration Date | 2006-11-03 |
Last Update Date | 2007-07-25 |