| NPI | 1417564592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON LANGE President 610-892-1708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207WX0107X Ophthalmology Retina Specialist | |
| 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery | |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |