Philadelphia Retina Associates Pc in Philadelphia - Retina Specialist
Philadelphia Retina Associates Pc - NPI 1104873223
Philadelphia Retina Associates Pc is a Retina Specialist in Philadelphia, Pennsylvania. Philadelphia Retina Associates Pc practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for Philadelphia Retina Associates Pc is 1104873223. The last update date is 2022-07-21.
Philadelphia Retina Associates Pc's current location address is 2701 Holme Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2153353088 and fax number 2153350315. The mailing address for Philadelphia Retina Associates Pc is 2701 Holme Ave, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Philadelphia Retina Associates Pc |
|---|---|
| Address | 2701 Holme Ave, Philadelphia, Pennsylvania |
| Phone Number | 2153353088 |
| Fax Number | 2153350315 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Deqlin A Edward |
| Credentials | M.D. |
| Telephone Number | 2153353088 |
NPI Number Detail
| NPI Number | 1104873223 |
|---|---|
| Provider Enumeration Date | 2006-05-27 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 2701 Holme Ave |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191522029 |
| Phone Number | 2153353088 |
| Fax Number | 2153350315 |
Provider's Primary Taxonomy Detail
| Speciality | Retina Specialist |
|---|---|
| Taxonomy | 207Wx0107X |
|
Definition: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 45476000 | PA | KEYSTONE HEALTH PLAN EAST | |
| 724403 | PA | -- | |
| 149829 | PA | IBC | |
| 3972 | PA | AETNA |
Post Comment/ Review Below
What is the Philadelphia Retina Associates Pc's unique identification number?
The Philadelphia Retina Associates Pc has been assigned the NPI (National Provider Identifier) Number 1104873223 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Philadelphia Retina Associates Pc?
The Philadelphia Retina Associates Pc is physically situated at 2701 Holme Ave, in the city of Philadelphia, state of PA, with the postal code 191522029.
What is Philadelphia Retina Associates Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Philadelphia Retina Associates Pc is Retina Specialist, and the taxonomy classification code that categorizes this area of expertise is 207Wx0107X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104873223 to Philadelphia Retina Associates Pc?
The Philadelphia Retina Associates Pc received its 1104873223 assignment from the Centers for Medicare & Medicaid Services on 2006-05-27.
When was the information pertaining to Philadelphia Retina Associates Pc most recently updated or revised?
The details related to Philadelphia Retina Associates Pc, including its address, specialty, and other relevant information, were last updated or revised on 2022-07-21.