NPI | 1851655039 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN FERRANTE Practice Administrator 215-629-1353 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: PA oeg002574) |
Enumeration Date | 2012-07-02 |
Last Update Date | 2012-07-02 |