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Individual

ANDREW LEON PRITCHARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
525 JAMESTOWN ST, SUITE 207, PHILADELPHIA, PA 19128-1751
(215) 483-8444
(215) 482-8456
Mailing address
525 JAMESTOWN ST, SUITE 207, PHILADELPHIA, PA 19128-1751
(215) 483-8444
(215) 482-8456

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000724
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0014563160001
PA
Enumeration date
12/19/2005
Last updated
02/29/2016
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