Individual
DR. RUTH YENTUNDE SHOGE
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
205 LEEDS CT, CHESTERTOWN, MD 21620-3346
(410) 708-3505
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001841
PA
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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