Individual
DR. JANET SWIATOCHA-DELATTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTOMETRIST
Contact information
Practice address
1200 W GODFREY AVE, PHILADELPHIA, PA 19141-3323
(215) 276-6000
(215) 276-1329
Mailing address
336 COUNTY ROAD 513, FRENCHTOWN, NJ 08825-3734
(908) 996-3444
(215) 276-1329
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001420
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1547363
BLUE SHIELD
PA
01
—
2230875000
KEYSTONE EAST
PA
01
—
2248
AETNA HMO
PA
Enumeration date
08/10/2006
Last updated
07/08/2007
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