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Organization

SOLL EYE PC OF PA

Active
Other names
SOLL EYE, NORTHEAST DIVISION
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN M SOLL M.D. (M.D.)
(215) 288-5000
Entity
Organization

Contact information

Practice address
10160 BUSTLETON AVE, SUITE F, PHILADELPHIA, PA 19116-3749
(215) 934-7655
(215) 934-6278
Mailing address
5001 FRANKFORD AVE, PHILADELPHIA, PA 19124-2619
(215) 288-5000
(215) 744-1233

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00039405
HIGHMARK BS
PA
01
00053129004
IBC KEYSTONE
PA
05
0009231760014
PA
01
1027255
KEYSTONE MERCY
PA
01
27807
HEALTH PARTNERS
PA
01
4617586
AETNA PPO
PA
01
50081
AETNA HMO
PA
Enumeration date
08/31/2005
Last updated
10/22/2007
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