Richard Boehm
NPI #1104049501 in Ardmore, Pennsylvania
Provider Information
- NPI Number
- 1104049501
- Entity Type
- Individual
- Name
- Richard Boehm
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Apr 11, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 17 E LANCASTER AVE
- City
- Ardmore
- State
- Pennsylvania
- ZIP Code
- 19003-2319
- Phone
- (610) 645-0546
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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