NPI | 1104873223 |
---|---|
Former Legal Business Name | EDWARD A. DEQLIN, M.D. PC |
Entity Type | Organization |
Authorized Contact | EDWARD A DEQLIN President 215-335-3088 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist |
Enumeration Date | 2006-05-27 |
Last Update Date | 2022-07-21 |