Individual
DR. JAMES PATRICK BOZZUTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6 N MAIN ST, PITTSTON, PA 18640-1806
(570) 654-2020
(570) 655-6516
Mailing address
6 N MAIN ST, PITTSTON, PA 18640-1806
(570) 654-2020
(570) 655-6516
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000521
PA
332B00000X
Durable Medical Equipment & Medical Supplies
OEG000521
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001191542
—
PA
Enumeration date
03/23/2006
Last updated
04/18/2013
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