Individual
MAURA NOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
840 WALNUT ST STE 1210, PHILADELPHIA, PA 19107-5109
(215) 928-3240
(215) 928-3983
Mailing address
840 WALNUT ST STE 1210, PHILADELPHIA, PA 19107-5109
(215) 928-3240
(215) 928-3983
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG003809
PA
Other
Enumeration date
07/28/2021
Last updated
11/02/2022
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