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Organization

EYE PLASTIC SURGERY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE LONG (BILLING MANAGER)
(610) 828-8880
Entity
Organization

Contact information

Practice address
610 W GERMANTOWN PIKE, SUITE 161, PLYMOUTH MEETING, PA 19462-1062
(610) 828-8880
(610) 828-8883
Mailing address
610 W GERMANTOWN PIKE, SUITE 161, PLYMOUTH MEETING, PA 19462-1062
(610) 828-8880
(610) 828-8883

Taxonomy

Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary

Other

Enumeration date
12/13/2011
Last updated
12/13/2011
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