Individual
DR. MICHAEL JOSEPH JERJOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
180 W GIRARD AVE STE 5, PHILADELPHIA, PA 19123-1660
(215) 554-6222
Mailing address
217 GARRISONVILLE RD, STAFFORD, VA 22554-1527
(540) 658-6983
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618003080
VA
152W00000X
Optometrist
OEG004135
PA
Other
Enumeration date
06/29/2018
Last updated
05/02/2024
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