John S Corvese O.D.

NPI 1073613741 - Optometrist - 152W00000X

NPI Details
NPI 1073613741
Gender Male
Enumeration Date 09/23/2006
Last Updated 07/01/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
1970 PAWTUCKET AVE
EAST PROVIDENCE RI, 02914-1718, US
Phone (401) 438-1166
Fax (401) 438-1614
Business Location
1970 PAWTUCKET AVE
EAST PROVIDENCE RI, 02914-1718, US
Phone (401) 438-1166
Fax (401) 438-1614
Toxanomy
Taxonomy Code 152W00000X
License State Rhode Island
License Number ODTG00517
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According to our database, Dr. John S Corvese O.D. NPI is 1073613741, taxonomy code is 152W00000X and license number is ODTG00517, license state is located at Rhode Island. John S Corvese O.D. physically located at 1970 Pawtucket Ave, East Providence RI, 02914-1718. NPI Number John S Corvese O.D. has the Individual type.

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1073613741 NPI number is provided on an as is basis without warranty of any kind. 1073613741 is maintained by the National Plan & Provider Enumeration System. The contents of John S Corvese O.D. are for informational purposes only.