Individual
DR. SOBY A RUSSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5401 OLD YORK RD, PHILADELPHIA, PA 19141-3030
(215) 456-7000
Mailing address
101 E OLNEY AVENUE, SUITE 400, PHILADELPHIA, PA 19120-2421
(215) 456-7000
(215) 456-5926
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
27OA00625100
NJ
152W00000X
Optometrist
Primary
OEG002457
PA
Other
Enumeration date
07/12/2010
Last updated
02/03/2021
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