| NPI | 1770617441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY HELEN HENDRICKS Resident 215-707-4998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MT184750) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2008-07-22 |