person
Mr. Issam Malkoun, OPTICIAN
Optician in Boothwyn, Pennsylvania
NPI 1740328418

Issam Malkoun is a Optician based in Media, PA and is specialized in Optician. Issam Malkoun practices in Boothwyn, PA and has the professional credentials of OPTICIAN. The NPI Number for Issam Malkoun is 1740328418 and holds a License No. 23273485 (Pennsylvania).

The current practice location address for Issam Malkoun is 3103 Chichester Ave, Boothwyn, PA and can be reached out via phone at 610-494-4320.

Location: 3103 Chichester Ave, Boothwyn, PA, 19063-3215
person
Provider Profile Details
NPI Number
1740328418
Provider Name
Issam Malkoun
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
3103 Chichester Ave, Boothwyn, PA, 19063-3215
Phone Number
610-494-4320
Fax Number
Provider Enumeration Date
02/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0134700001 01 NSC
institution
Provider Business Practice Location Address Details
Address
3103 Chichester Ave
City
State
Zip
19061-3117
Phone Number
610-494-4320
Fax Number
person
Provider Business Mailing Address Details
Address
3103 Chichester Ave
City
State
Zip
19061-3117
Phone Number
610-494-4320
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
23273485 (Pennsylvania)
Definition
Definition to come...
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