Robert J Ottaviani OD

NPI 1639247224 - Optometrist - 152W00000X

NPI Details
NPI 1639247224
Gender Male
Enumeration Date 12/01/2006
Last Updated 08/08/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
104 MAIN ST
WYALUSING PA, 18853-0307, US
Phone (570) 746-1610
Fax (570) 746-6218
Business Location
PO BOX 307
WYALUSING PA, 18853-0307, US
Phone (570) 746-1610
Fax (570) 746-6218
Toxanomy
Taxonomy Code 152W00000X
License State Pennsylvania
License Number OEG000822
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According to our database, Robert J Ottaviani OD NPI is 1639247224, taxonomy code is 152W00000X and license number is OEG000822, license state is located at Pennsylvania. Robert J Ottaviani OD physically located at 104 Main St, Wyalusing PA, 18853-0307. NPI Number Robert J Ottaviani OD has the Individual type.

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1639247224 NPI number is provided on an as is basis without warranty of any kind. 1639247224 is maintained by the National Plan & Provider Enumeration System. The contents of Robert J Ottaviani OD are for informational purposes only.