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Individual

CYNTHIA LEE ALLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5501 OLD YORK RD FL LIFTER2, PHILADELPHIA, PA 19141-3018
(215) 456-6696
(215) 456-6769
Mailing address
101 E OLNEY AVE STE 400, PHILADELPHIA, PA 19120-2470
(215) 456-1825
(215) 456-5926

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD426706
PA
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
MD426706
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101474845
MEDICAID
PA
05
101474845
PA
Enumeration date
06/29/2006
Last updated
05/29/2025
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