| |
829 Durham Rd, Penndel, PA 19047-5736 | |
(215) 288-5000 | |
(215) 744-1233 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 829 Durham Rd, Penndel, Pennsylvania |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780716126 | NPI | - | NPPES |
0009231760017 | Medicaid | PA | |
0009231760014 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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5001 Frankford Ave, Philadelphia, PA 19124-2619 Ph: (215) 288-5000 | 829 Durham Rd, Penndel, PA 19047-5736 Ph: (215) 288-5000 |