Individual
PHILIP A KOSVITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4060 BUTLER PIKE, SUITE 100, PLYMOUTH MEETING, PA 19462-1560
(215) 836-1290
(215) 233-3421
Mailing address
4060 BUTLER PIKE, SUITE 100, PLYMOUTH MEETING, PA 19462-1560
(215) 836-1290
(215) 233-3421
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000073
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011172400006
—
PA
Enumeration date
03/17/2006
Last updated
05/31/2017
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