Individual
VICTOR JAY BAROUH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8500 HENRY AVE, ANDORRA SHOPPING CENTER, PHILADELPHIA, PA 19128-2111
(215) 487-2345
(215) 487-2346
Mailing address
8500 HENRY AVE, ANDORRA SHOPPING CENTER, PHILADELPHIA, PA 19128-2111
(215) 487-2345
(215) 487-2346
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OE004656T
PA
152W00000X
Optometrist
Primary
OE4656T
PA
Other
Enumeration date
01/28/2006
Last updated
08/23/2016
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