| NPI | 1609353291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN B BRACKUP Md Owner 215-750-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |