Individual
DR. EDWARD ALAN DEGLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2701 HOLME AVE STE 303, PHILADELPHIA, PA 19152-2029
(215) 335-3088
(215) 335-0315
Mailing address
2701 HOLME AVE STE 303, PHILADELPHIA, PA 19152-2029
(215) 335-3088
(215) 335-0315
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD014247-E
PA
207WX0107X
Retina Specialist (Ophthalmology) Physician
MD014247E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0045476000
KEYSTONE HEALTH PLAN EAST
PA
01
—
0072440301
AMERICHOICE
PA
05
—
072440300
—
PA
01
—
11326
HEALTH PARTNERS
PA
01
—
149829
IBC
PA
01
—
30553
HEALTH PARTNERS
PA
01
—
30554
HEALTH PARTNERS
PA
01
—
31230
KEYSTONE MERCY
PA
01
—
3972
AETNA
PA
Enumeration date
06/28/2005
Last updated
02/27/2019
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