| NPI | 1396731501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT B PENNE Presidential 610-649-1970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2020-07-28 |