Individual
DR. CHEN T LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
218 S 20TH ST, PHILADELPHIA, PA 19103-5616
(215) 568-3937
Mailing address
1753 S HICKS ST, PHILADELPHIA, PA 19145-2216
(215) 601-8107
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002106
PA
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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