MR. Issam Malkoun, OPTICIAN
NPI #1740328418 in Boothwyn, Pennsylvania
Provider Information
- NPI Number
- 1740328418
- Entity Type
- Individual
- Name
- MR. Issam Malkoun, OPTICIAN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- OPTICIAN
- Enumeration Date
- Feb 2, 2007
- Last Updated
- May 2, 2011
Practice Location
- Address
- 3103 CHICHESTER AVE
- City
- Boothwyn
- State
- Pennsylvania
- ZIP Code
- 19061-3117
- Phone
- (610) 494-4320
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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