Individual
DR. GLEN E LOESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
319 2ND STREET PIKE, SOUTHAMPTON, PA 18966-3812
(215) 355-4428
(215) 355-0790
Mailing address
319 2ND STREET PIKE, SOUTHAMPTON, PA 18966-3812
(215) 355-4428
(215) 355-0790
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001616
PA
Other
Enumeration date
06/05/2006
Last updated
03/27/2012
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