Individual
LAILA AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
155 JACKSON AVE, GLENSIDE, PA 19038
(609) 233-2907
Mailing address
155 JACKSON AVE, GLENSIDE, PA 19038
(609) 233-2907
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002985
PA
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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