# PEDIATRIC OPHTHALMOLOGY & STRABISMUS ASSOCIATES OF SOUTHEASTERN PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699280719
- **Authorized official:** CYNTHIA ALLEY (MED STAFF)
- **Authorized official phone:** (215) 292-1698

## Contact information

- **Practice address:** 3855 W CHESTER PIKE STE 335, NEWTOWN SQUARE, PA 19073-2304
- **Practice address phone:** (610) 347-7672
- **Practice address fax:** (610) 347-7673
- **Mailing address:** 215 HIGHLAND AVE STE A, HADDON TOWNSHIP, NJ 08108-2634
- **Mailing address phone:** (856) 470-4776
- **Mailing address fax:** (866) 607-4450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207WX0110X | Pediatric Ophthalmology and Strabismus Specialist Physician | MD426706 | PA | Yes |

## Other

- **Enumeration date:** 12/12/2017
- **Last updated:** 06/07/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1014748450002 | — | PA |