Individual
RADOSLAV IVANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
401 N 17TH ST, SUITE 103, ALLENTOWN, PA 18104-5034
(610) 969-3070
(610) 969-3073
Mailing address
401 N 17TH ST, SUITE 103, ALLENTOWN, PA 18104-5034
(610) 969-3070
(610) 969-3073
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002925
PA
Other
Enumeration date
06/23/2014
Last updated
05/30/2016
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