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Organization

KEYSTONE EYE ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JENNIFER RISPO-MAGUIRE (BUSINESS MANAGER)
(215) 552-8332
Entity
Organization

Contact information

Practice address
9126 BLUE GRASS RD, PHILADELPHIA, PA 19114-3202
(215) 331-4141
(215) 338-0167
Mailing address
9126 BLUE GRASS RD, PHILADELPHIA, PA 19114-3202
(215) 331-4141
(215) 338-0167

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
207W00000X
Ophthalmology Physician
Primary

Other

Enumeration date
05/22/2006
Last updated
01/10/2011
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