Individual
IOAN CIOCOTISAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTOMETRIST
Contact information
Practice address
550 E LANCASTER AVE STE C1, RADNOR, PA 19087-5044
(610) 687-0364
Mailing address
2 MARK LN, EWING, NJ 08628-1509
(609) 751-6280
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG003565
PA
Other
Enumeration date
07/25/2019
Last updated
07/29/2019
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