Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ISSAM MALKOUN, OPTICIAN
ActiveMR. ISSAM MALKOUN, OPTICIAN is a Optician, Dispensing healthcare provider located in BOOTHWYN, Pennsylvania. NPI 1740328418 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · BOOTHWYN, PA
Registration Details
- NPI Number
- 1740328418
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 2, 2007 (19.48748540893 yrs)
- Last Updated
- May 2, 2011
- License
-
23273485 (PA)
Practice Information
- Address
-
3103 CHICHESTER AVEBOOTHWYN, PA, 190613117Browse PA providers · Browse ZIP 19061
- Phone
- 6104944320
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.