Individual
MR. RAYMOND JOSEPH MISKE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 PIKE ST, PORT CARBON, PA 17965-1814
(570) 622-0226
(570) 622-9277
Mailing address
109 PIKE ST, PORT CARBON, PA 17965-1814
(570) 622-0226
(570) 622-9277
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
6000000546
PA
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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