Dr Marlon Burt Od Pc

NPI 1225029507 - Optometrist - 152W00000X

NPI Details
NPI 1225029507
Enumeration Date 11/04/2005
Last Updated 10/29/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MARLON G MARLON
Position OWNER
Phone (610) 683-3888
Fax (610) 683-3083
Practice Location
126 W MAIN ST
KUTZTOWN PA, 19530-1712, US
Phone (610) 683-3888
Fax (610) 683-3083
Business Location
PO BOX 268
KUTZTOWN PA, 19530-0268, US
Phone (610) 683-3888
Fax (610) 683-3083
Toxanomy
Taxonomy Code 152W00000X
License State Pennsylvania
License Number OEG001552
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According to our database, Dr Marlon Burt Od Pc NPI is 1225029507, taxonomy code is 152W00000X and license number is OEG001552, license state is located at Pennsylvania. Dr Marlon Burt Od Pc physically located at 126 W Main St, Kutztown PA, 19530-1712. NPI Number 1033115704 has the healthcare provider type.

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1225029507 NPI number is provided on an as is basis without warranty of any kind. 1225029507 is maintained by the National Plan & Provider Enumeration System. The contents of Dr Marlon Burt Od Pc are for informational purposes only.