Individual
MAUREEN OBERLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5001 FRANKFORD AVE, PHILADELPHIA, PA 19124-2619
(215) 288-5000
(215) 744-1233
Mailing address
5001 FRANKFORD AVE, PHILADELPHIA, PA 19124-2619
(215) 288-5000
(215) 744-1233
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
27OA00516200
NJ
152W00000X
Optometrist
Primary
OEG001449
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017989760001
—
PA
05
—
6171800
—
NJ
Enumeration date
06/28/2005
Last updated
07/08/2007
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