Provider Demographics
NPI:1689629610
Name:DR. DENISE GURWOOD
Entity Type:Organization
Organization Name:DR. DENISE GURWOOD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:L
Authorized Official - Last Name:GURWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:215-348-5551
Mailing Address - Street 1:16 N. FRANKLIN ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-3536
Mailing Address - Country:US
Mailing Address - Phone:215-348-5551
Mailing Address - Fax:215-348-7151
Practice Address - Street 1:16 N FRANKLIN ST
Practice Address - Street 2:SUITE 202
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-3536
Practice Address - Country:US
Practice Address - Phone:215-348-5551
Practice Address - Fax:215-348-7151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001564152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU27772Medicare UPIN
PAGU555281Medicare ID - Type Unspecified