Individual
CHARLES N GRIFFEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
270 LANCASTER AVE, SUITE F1, MALVERN, PA 19355-1858
(610) 647-6550
(610) 647-6549
Mailing address
270 W LANCASTER AVE, SUITE F1, MALVERN, PA 19355-1858
(610) 647-6550
(610) 647-6549
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000170
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50877
AETNA
—
Enumeration date
10/04/2005
Last updated
02/15/2008
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