Individual
PHILIP BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
17301 VALLEY MALL RD, HAGERSTOWN, MD 21740-6966
(301) 582-1771
(301) 582-4681
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA0980
MD
Other
Enumeration date
09/26/2006
Last updated
06/11/2024
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