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NPI Code Detail

MEDICARE: PRO-SPECS INC

MEDICARE: PRO-SPECS INC
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
1332H00000XEyewear Supplier

General Provider Information

NPI Number : 1134623671
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRO-SPECS INC
Provider Business Mailing Address
First Line : 1175 LANCASTER AVE
Second Line :
City : BERWYN
State : PA
Zip : 19312-1297
Country : US
Telephone Number : 610-384-9100
Fax Number : 610-384-3937
Provider Business Practice Location Address
First Line : 1175 LANCASTER AVE
Second Line :
City : BERWYN
State : PA
Zip : 19312-1297
Country : US
Telephone Number : 610-384-9100
Fax Number : 610-384-3937
Authorized Official
Title or Position : SECRETARY
Name : DREW R CHRONISTER
Credential : M.D.
Telephone Number : 610-384-9100
Provider Enumeration Date : 03/20/2018
Last Update Date : 10/12/2023

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Directions to “PRO-SPECS INC ” Practice Location

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