Tressa Mary Malikkal O.D.

NPI 1902983208 - Optometrist - 152W00000X

NPI Details
NPI 1902983208
Gender Female
Enumeration Date 11/01/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
130 W MAIN ST STE 142
TRAPPE PA, 19426-2025, US
Phone (610) 831-8060
Fax
Business Location
130 W MAIN ST STE 142
TRAPPE PA, 19426-2025, US
Phone (610) 831-8060
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Pennsylvania
License Number OEG-000634
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According to our database, Tressa Mary Malikkal O.D. NPI is 1902983208, taxonomy code is 152W00000X and license number is OEG-000634, license state is located at Pennsylvania. Tressa Mary Malikkal O.D. physically located at 130 W Main St Ste 142, Trappe PA, 19426-2025. NPI Number Tressa Mary Malikkal O.D. has the Individual type.

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1902983208 NPI number is provided on an as is basis without warranty of any kind. 1902983208 is maintained by the National Plan & Provider Enumeration System. The contents of Tressa Mary Malikkal O.D. are for informational purposes only.