Organization
RIDDLE EYE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY ANTONELLO (MEDICAL DIRECTOR)
(610) 565-6780
Entity
Organization
Contact information
Practice address
1098 W BALTIMORE PIKE, SUITE 3302, MEDIA, PA 19063-5139
(610) 565-6780
(610) 565-9390
Mailing address
1098 W BALTIMORE PIKE, SUITE 3302, MEDIA, PA 19063-5139
(610) 565-6780
(610) 565-9390
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001851
PA
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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