GARY N ITZENSON

ON SITE HEALTH SERVICES, PC

Dr GARY N ITZENSON is a male medical professional, specializing in Optometry. He graduated in 1983 from Pennsylvania College Of Optometry.

Contact

ON SITE HEALTH SERVICES, PC

482 NORRISTOWN RD
SUITE 111
BLUE BELL
PA
194222349

Tel: 6108258210

GARY N ITZENSON Information

Npi 1508861311
Pac Id 2163476995
Professional Enrollment Id I20100728001026
Last Name ITZENSON
First Name GARY
Middle Name N
Suffix
Gender M
Credential
Medical School Name PENNSYLVANIA COLLEGE OF OPTOMETRY
Graduation Year 1983
Primary Specialty OPTOMETRY
Secondary Specialty 1 OPHTHALMOLOGY
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties OPHTHALMOLOGY
Organization Legal Name ON SITE HEALTH SERVICES, PC
Group Practice Pac Id 6406806462
Number Of Group Practice Members 8
Line 1 Street Address 482 NORRISTOWN RD
Line 2 Street Address SUITE 111
Marker Of Address Line 2 Suppression
City BLUE BELL
State PA
Zip Code 194222349
Phone Number 6108258210
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
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Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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