Organization
PENNSYLVANIA EYE & EAR SURGERY
Active
Other names
PA EYE & EAR SURGERY CENTER, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L O'DONNELL M.B.A. (ADMINISTRATOR)
(610) 378-1348
Entity
Organization
Contact information
Practice address
1 GRANITE POINT DR, SUITE 200, WYOMISSING, PA 19610-1986
(610) 685-9204
(610) 685-5308
Mailing address
1 GRANITE POINT DR, SUITE 200, WYOMISSING, PA 19610-1986
(610) 685-9204
(610) 685-5308
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012118620001
—
PA
Enumeration date
02/06/2006
Last updated
06/19/2008
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