Ira Charles Zeitlin O.D.

NPI 1104802404 - Optometrist - 152W00000X

NPI Details
NPI 1104802404
Gender Male
Enumeration Date 12/19/2005
Last Updated 05/05/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
3935 CHESTNUT ST
PHILADELPHIA PA, 19104-3110, US
Phone (215) 386-6200
Fax
Business Location
3935 CHESTNUT ST
PHILADELPHIA PA, 19104-3181, US
Phone (215) 386-6200
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Pennsylvania
License Number OE005729T
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According to our database, Ira Charles Zeitlin O.D. NPI is 1104802404, taxonomy code is 152W00000X and license number is OE005729T, license state is located at Pennsylvania. Ira Charles Zeitlin O.D. physically located at 3935 Chestnut St, Philadelphia PA, 19104-3110. NPI Number Ira Charles Zeitlin O.D. has the Individual type.

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1104802404 NPI number is provided on an as is basis without warranty of any kind. 1104802404 is maintained by the National Plan & Provider Enumeration System. The contents of Ira Charles Zeitlin O.D. are for informational purposes only.