Organization
SIDNEY I & JERRY P DAVIDOFF PTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY PHILIP DAVIDOFF O.D. (PARTNER)
(610) 356-3933
Entity
Organization
Contact information
Practice address
2805 W CHESTER PIKE, BROOMALL, PA 19008-1827
(610) 356-3933
(610) 356-3324
Mailing address
2805 W CHESTER PIKE, PO BOX 188, BROOMALL, PA 19008-1827
(610) 356-3933
(610) 356-3324
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000157
PA
Other
Enumeration date
02/02/2006
Last updated
06/24/2011
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