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Organization

TRI-STATE EYE ASSOC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDWARD W GERNER MD (PHYSICIAN)
(215) 624-0500
Entity
Organization

Contact information

Practice address
4101 TYSON AVE, PHILADELPHIA, PA 19135-1615
(215) 624-0500
(215) 333-1195
Mailing address
17 LLANFAIR CIR, ARDMORE, PA 19003-3342

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD018913E
PA

Other

Enumeration date
01/25/2007
Last updated
07/21/2010
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