Individual
PHILLIP TRIEN HUYNH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1729 TEESDALE ST, PHILA, PA 19111-3808
(267) 304-3576
Mailing address
1729 TEESDALE ST, PHILA, PA 19111-3808
(267) 304-3576
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002298
PA
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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