Dr. Jamie J Brosof, OD
Optometrist in Philadelphia, PA. Individual provider (NPI-1).
NPI number1982186839
StatusActive
Last updated in NPPESDec 2, 2022
Details
- NPI
- 1982186839
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jamie J Brosof
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2018
- Certification date
- Dec 2, 2022
- Last updated
- Dec 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OEG003478 | PA | Yes |
Practice location
6778 Ridge AvePhiladelphia, PA 19128-2486
Phone 215-483-1636 · Fax 215-483-3765
Mailing address
6778 Ridge AvePhiladelphia, PA 19128-2486
Phone 215-483-1636 · Fax 215-483-3765
Other practice locations
103 Makefield Rd
Yardley, PA 19067-5937
Yardley, PA 19067-5937
Phone 215-428-9355 · Fax 215-428-9356
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