Organization
IRVING I CRIDEN & SCOTT PAGE OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM SYLVESTER (OFFICE MANAGER)
(215) 627-4448
Entity
Organization
Contact information
Practice address
1015 CHESTNUT ST, SUITE 417, PHILADELPHIA, PA 19107-4316
(215) 627-4448
(215) 627-5798
Mailing address
1015 CHESTNUT ST, SUITE 417, PHILADELPHIA, PA 19107-4316
(215) 627-4448
(215) 627-5798
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001654
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225968000
BCBS
PA
Enumeration date
08/20/2006
Last updated
09/07/2012
Update your record
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