Paul Jacob Suscavage OD

NPI 1053382077 - Optometrist - 152W00000X

NPI Details
NPI 1053382077
Gender Male
Enumeration Date 01/28/2006
Last Updated 11/15/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
850 S VALLEY FORGE RD
LANSDALE PA, 19446-4261, US
Phone (215) 368-4660
Fax (215) 368-7176
Business Location
850 S VALLEY FORGE RD
LANSDALE PA, 19446-4261, US
Phone (215) 368-4660
Fax (215) 368-7176
Toxanomy
Taxonomy Code 152W00000X
License State Pennsylvania
License Number OEG001503
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According to our database, Dr. Paul Jacob Suscavage OD NPI is 1053382077, taxonomy code is 152W00000X and license number is OEG001503, license state is located at Pennsylvania. Paul Jacob Suscavage OD physically located at 850 S Valley Forge Rd, Lansdale PA, 19446-4261. NPI Number Paul Jacob Suscavage OD has the Individual type.

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1053382077 NPI number is provided on an as is basis without warranty of any kind. 1053382077 is maintained by the National Plan & Provider Enumeration System. The contents of Paul Jacob Suscavage OD are for informational purposes only.