Individual
JASON S FLAMENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
840 WALNUT ST STE 1110, PHILADELPHIA, PA 19107-5109
(215) 928-3197
(215) 928-0166
Mailing address
840 WALNUT ST STE 1110, PHILADELPHIA, PA 19107-5109
(215) 928-3197
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD466779
PA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
MD466779
PA
Other
Enumeration date
04/22/2015
Last updated
07/09/2019
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