Individual
IRENE MUSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1919 CHESTNUT ST, SUITE #105, PHILADELPHIA, PA 19103-3401
(215) 563-8440
Mailing address
408 BELLOWS LN, FEASTERVILLE TREVOSE, PA 19053-7840
(267) 684-6304
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OEG001298
PA
152WC0802X
Corneal and Contact Management Optometrist
Primary
OEG001298
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3562881
AETNA HMO
PA
01
—
7991573
AETNA PPO
PA
01
—
9252339
CIGNA
PA
01
—
MU1644335
HIGHMARK BLUE SHIELD
PA
Enumeration date
05/22/2006
Last updated
03/03/2008
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