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Organization

ON SITE HEALTH SERVICES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GARY ITZENSON O.D (OWNER DIRECTOR ACTIVE, ATTENDING)
(610) 825-8210
Entity
Organization

Contact information

Practice address
482 NORRISTOWN RD, SUITE 111, BLUE BELL, PA 19422-2349
(610) 825-8210
(610) 825-8208
Mailing address
490 NORRISTOWN RD STE 151, BLUE BELL, PA 19422-2350
(610) 825-8210
(610) 825-8208

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
27OA00437400
NJ
152W00000X
Optometrist
Primary
OE006115T
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100775693000
PA
05
2205211
NJ
Enumeration date
06/17/2005
Last updated
02/06/2026
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