Organization
PHILADELPHIA RETINA ASSOCIATES PC
Active
Other names
Edward A. Deqlin, M.D. PC
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD A DEQLIN M.D. (PRESIDENT)
(215) 335-3088
Entity
Organization
Contact information
Practice address
2701 HOLME AVE STE 303, PHILADELPHIA, PA 19152-2029
(215) 335-3088
(215) 335-0315
Mailing address
2701 HOLME AVE, SUITE 303, PHILADELPHIA, PA 19152-2029
(215) 335-3088
(215) 335-0315
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0045476000
KEYSTONE HEALTH PLAN EAST
PA
05
—
0724403
—
PA
01
—
149829
IBC
PA
01
—
3972
AETNA
PA
Enumeration date
05/27/2006
Last updated
07/21/2022
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