Organization
PEDIATRIC EYE PHYSICIANS & SURGEONS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN CONWAY WILSON M.D. (PHYSICIAN)
(610) 993-8083
Entity
Organization
Contact information
Practice address
155 W LANCASTER AVE, PAOLI, PA 19301-1740
(610) 993-8083
(610) 993-8086
Mailing address
155 W LANCASTER AVE, PAOLI, PA 19301-1740
(610) 993-8083
(610) 993-8086
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
06/19/2007
Last updated
01/22/2013
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