Kingston Ophthalmology Asc Llc

NPI 1245203405 - Clinic/Center - 261QA1903X

NPI Details
NPI 1245203405
Enumeration Date 02/08/2006
Last Updated 04/03/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PHILLIP A PHILLIP
Position PRESIDENT
Phone (570) 288-7405
Fax (570) 714-0419
Practice Location
601 WYOMING AVE
KINGSTON PA, 18704-3701, US
Phone (570) 288-7405
Fax (570) 714-0419
Business Location
601 WYOMING AVE
KINGSTON PA, 18704-3701, US
Phone (570) 288-7405
Fax (570) 714-0419
Toxanomy
Taxonomy Code 261QA1903X
License State Pennsylvania
License Number 94941500
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According to our database, Kingston Ophthalmology Asc Llc NPI is 1245203405, taxonomy code is 261QA1903X and license number is 94941500, license state is located at Pennsylvania. Kingston Ophthalmology Asc Llc physically located at 601 Wyoming Ave, Kingston PA, 18704-3701. NPI Number 1033115704 has the healthcare provider type.

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1245203405 NPI number is provided on an as is basis without warranty of any kind. 1245203405 is maintained by the National Plan & Provider Enumeration System. The contents of Kingston Ophthalmology Asc Llc are for informational purposes only.