Individual
WON OH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7300 OLD YORK RD STE 220A, ELKINS PARK, PA 19027-3062
(215) 635-2110
Mailing address
7300 OLD YORK RD STE 220A, ELKINS PARK, PA 19027-3062
(215) 635-2110
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
01/25/2018
Last updated
12/09/2019
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