Individual
MR. JOSEPH D CUSSATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 N BROAD ST, WEST HAZLETON, PA 18202-1551
(570) 455-1100
(570) 455-1101
Mailing address
601 N BROAD ST, WEST HAZLETON, PA 18202-1551
(570) 455-1100
(570) 455-1101
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
—
—
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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