FARYAL AZAM OD LLC

PHILADELPHIA, PA
NPI1609217140
Entity TypeOrganization
Authorized ContactFARYAL AZAM
Optometrist
267-241-8006
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
(Licence: PA  oeg002637)
Enumeration Date2013-07-12
Last Update Date2013-07-12
Business Address
FARYAL AZAM OD LLC
9475 ROOSEVELT BLVD INSIDE PEARLE VISION
PHILADELPHIA, PA 19114-2212
Phone number: 215-698-7600
Mailing Address
FARYAL AZAM OD LLC
9475 ROOSEVELT BLVD INSIDE PEARLE VISION
PHILADELPHIA, PA 19114-2212
Phone number: