Individual
DR. MATTHEW PAUL MIGNOGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
706 GRAPE ST, WHITEHALL, PA 18052-5207
(610) 266-7700
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE-007828-T
PA
Other
Enumeration date
09/22/2006
Last updated
09/26/2024
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