Organization
ROSE TREE CROSSROADS EYE CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT W GUERRA O.D. (PRESIDENT)
(610) 566-6484
Entity
Organization
Contact information
Practice address
1315 N PROVIDENCE RD, MEDIA, PA 19063-1205
(610) 566-6484
(610) 566-6464
Mailing address
1315 N PROVIDENCE RD, MEDIA, PA 19063-1205
(610) 566-6484
(610) 566-6464
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7776303
—
PA
Enumeration date
02/09/2009
Last updated
09/10/2009
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