Individual
BRANDON DANIEL AYRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 PRESIDENTIAL BLVD STE 200, BALA CYNWYD, PA 19004-1108
(484) 434-2700
(610) 660-0419
Mailing address
100 PRESIDENTIAL BLVD STE 200, BALA CYNWYD, PA 19004-1108
(484) 434-2700
(610) 660-0419
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
25MA07879100
NJ
207W00000X
Ophthalmology Physician
Primary
MD424261
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075736
—
NJ
05
—
1012127520001
—
PA
Enumeration date
07/07/2005
Last updated
11/03/2020
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