| NPI | 1093714420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CHARLES SERGOTT President 215-928-3130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD031030L) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2017-06-15 |