NPI | 1699979211 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL JACOB SUSCAVAGE Managing Member 215-368-4660 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG001503) |
Enumeration Date | 2007-06-14 |
Last Update Date | 2008-06-30 |