Individual
DR. JUSTIN TEICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
641 SWEDESFORD RD, MALVERN, PA 19355-1530
(484) 534-8600
Mailing address
21 SURREY WAY, EXTON, PA 19341-1639
(484) 534-8600
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002294
PA
Other
Enumeration date
07/10/2007
Last updated
10/07/2013
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