Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | OEG000949 | PA |
NPI | 1013066802 |
---|---|
Provider Name | Dr. Shelley Ilene Cutler-Frankel |
First Address | Jenkintown, PA 19046-2625 |
Second Address | Chalfont, PA 18914-2218 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2007 |
Last Update Date | 10/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
UO6323 | (02) |