Individual
DAVID LARNED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3401 N BROAD ST, 6TH FLOOR, PHILADELPHIA, PA 19140-5103
(215) 707-3185
(215) 707-1684
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-3185
(215) 707-1684
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
C10002601
DE
207W00000X
Ophthalmology Physician
Primary
MD030312E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000158301
—
DE
01
—
0080202000
AMERIHEALTH HMO
DE
01
—
27364
COVENTRY
DE
01
—
342958
MAMSI
DE
01
—
4304455
AETNA
DE
01
—
510353416
BLUE SHIELD
DE
01
—
510353416001
TRICARE
DE
01
—
LA180017152
RR MEDICARE
DE
Enumeration date
11/02/2005
Last updated
03/21/2017
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