Individual
MICHAEL J SPONBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O,D.
Contact information
Practice address
8118 BUSTLETON AVE, PHILA, PA 19152-2803
(215) 342-8118
(215) 725-4999
Mailing address
8118 BUSTLETON AVE, PHILA, PA 19152-2803
(215) 342-8118
(215) 725-4999
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE005574T
PA
Other
Enumeration date
03/17/2006
Last updated
07/30/2012
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