| NPI | 1154491629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE HOWARD BLOOM President 215-483-8444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD020108) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2008-04-20 |