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1609217140
FARYAL AZAM OD LLC
PHILADELPHIA, PA
NPI
1609217140
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Entity Type
Organization
Authorized Contact
FARYAL AZAM
Optometrist
267-241-8006
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: PA oeg002637)
Enumeration Date
2013-07-12
Last Update Date
2013-07-12
Business Address
FARYAL AZAM OD LLC
9475 ROOSEVELT BLVD INSIDE PEARLE VISION
PHILADELPHIA, PA 19114-2212
Phone number: 215-698-7600
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Mailing Address
FARYAL AZAM OD LLC
9475 ROOSEVELT BLVD INSIDE PEARLE VISION
PHILADELPHIA, PA 19114-2212
Phone number:
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