Individual
ARIENEH TAHMASIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1200 W GODFREY AVE, PHILADELPHIA, PA 19141-3323
(215) 276-6070
(215) 276-1329
Mailing address
1200 W GODFREY AVE, PHILADELPHIA, PA 19141-3323
(215) 276-6000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG003350
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OEG003350
LICENSE
PA
Enumeration date
09/13/2017
Last updated
09/13/2017
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