MEDICARE: JOAN M O'BRIEN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	MD438882	PA

General Provider Information

NPI Number	:	1124073267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOAN M O'BRIEN MD

Provider Business Mailing Address
First Line	:	51 N 39TH STREET
Second Line	:	SCHEIE EYE INSTITUTE
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104
Country	:	US
Telephone Number	:	215-662-8100
Fax Number	:

Provider Business Practice Location Address
First Line	:	51 N 39TH STREET
Second Line	:	SCHEIE EYE INSTITUTE
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-0000
Country	:	US
Telephone Number	:	215-662-8100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	08/22/2012

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