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NPI Code Detail

MEDICARE: SOLL EYE PC OF NJ

MEDICARE: SOLL EYE PC OF NJ
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
1174400000XSpecialistMA59093NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083613673
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOLL EYE PC OF NJ
Provider Business Mailing Address
First Line : 3 COOPER PLZ
Second Line : SUITE 510
City : CAMDEN
State : NJ
Zip : 08103-1438
Country : US
Telephone Number : 856-342-7200
Fax Number : 856-342-6620
Provider Business Practice Location Address
First Line : 5001 FRANKFORD AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19124-2619
Country : US
Telephone Number : 215-288-5000
Fax Number : 215-744-1233
Authorized Official
Title or Position : M.D.
Name : DR. STEPHEN M SOLL
Credential : M.D.
Telephone Number : 215-288-5000
Provider Enumeration Date : 07/18/2005
Last Update Date : 08/22/2020

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Directions to “SOLL EYE PC OF NJ ” Practice Location

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