Individual
IRA CHARLES ZEITLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3935 CHESTNUT ST, PHILADELPHIA, PA 19104-3110
(215) 386-6200
Mailing address
3935 CHESTNUT ST, PHILADELPHIA, PA 19104-3181
(215) 386-6200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE005729T
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0145640501
—
PA
Enumeration date
12/19/2005
Last updated
05/05/2008
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