| NPI | 1811008972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANANTH V MUDGIL Medical Director 610-429-3004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-04-26 |