Individual
AYESHA MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34TH & CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4306
(215) 590-2791
(215) 590-4325
Mailing address
100 E PENN SQ, THE WANAMAKER BLDG. 9TH FLOOR, PHILADELPHIA, PA 19107-3323
(267) 425-9538
(267) 425-9552
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002983
PA
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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