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Advanced Ophthalmology East

Specialist in Monroeville, PA. Organization (NPI-2).

NPI number1336396159
StatusActive
Last updated in NPPESFeb 3, 2010

Details

NPI
1336396159
Entity type
Organization (NPI-2)
Legal business name
Advanced Ophthalmology East
Organization subpart
Yes
Enumeration date
Aug 22, 2008
Last updated
Feb 3, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X SpecialistMD417220PAYes
305S00000X Point of ServiceMD417220PA

Practice location

2520 Mosside Blvd
Suite 1
Monroeville, PA 15146-3539

Phone 412-374-1220 · Fax 412-374-8220

Mailing address

2520 Mosside Blvd
Suite 1
Monroeville, PA 15146-3539

Phone 412-374-1220 · Fax 412-374-8220

Authorized official

Ramakumar Natarajan Gounder
Ophthalmologist
4123741220

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