Individual
DR. BRANDY SCOMBORDI-RAGHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTOMETRIST
Contact information
Practice address
1200 W GODFREY AVE, PHILADELPHIA, PA 19141-3323
(215) 276-6000
(215) 276-1329
Mailing address
33 OSWIN TURN, LANGHORNE, PA 19047-2054
(215) 572-0210
(215) 276-1329
Taxonomy
Speciality
Code
Description
License number
State
152WP0200X
Pediatric Optometrist
Primary
OEG000420
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1622822
BLUE SHIELD
PA
01
—
2248
AETNA HMO
PA
01
—
2299722000
KEYSTONE EAST
PA
Enumeration date
08/09/2006
Last updated
03/22/2012
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