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Individual

DR. MARK FALON LANDAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
555 VAN REED RD, WYOMISSING, PA 19610-1769
(610) 378-5560
(610) 378-1400
Mailing address
555 VAN REED RD, WYOMISSING, PA 19610-1769
(610) 378-5560
(610) 378-1400

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE-005894-T
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01712901
CAP BLUE CROSS
PA
01
LA193982
HIGHMARK BLUE SHIELD
PA
Enumeration date
11/04/2005
Last updated
02/21/2008
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