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Contact Information

TIFFANY BOSWELL, OD
9745 ROOSEVELT BLVD
WALMART VISION CENTER
PHILADELPHIA, PA19114-1010
 Phone: 215-676-2425
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for TIFFANY BOSWELL · (Female)

NPI # 1073603023
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/13/2006
Last updated 08/03/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # OEG001719
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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