| NPI | 1083983191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEDRO CUELLAR Partner 215-298-2823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: PR 308) |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2011-12-19 |