| NPI | 1841543030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY ANTONELLO Medical Director 610-565-6780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG001851) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |