Individual
SHANTHY SANDRASEKARAMUDALY BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6633 GERMANTOWN AVE, UNIT A, PHILADELPHIA, PA 19119-2253
(215) 422-3636
(215) 422-3748
Mailing address
615 S CONESTOGA ST, PHILADELPHIA, PA 19143-2514
(215) 305-0611
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002168
PA
Other
Enumeration date
11/13/2008
Last updated
01/25/2017
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