NPI | 1245780097 |
---|---|
Entity Type | Organization |
Authorized Contact | ROOPAL G RAMMOHAN Optometrist 484-358-8900 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: PA OEG001516) |
Enumeration Date | 2016-10-05 |
Last Update Date | 2016-10-05 |