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Individual

DR. EUGENE THOMAS PARTRIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2793 SOUTH PARK AVENUE, LACKAWANNA, NY 14218
(716) 826-5555
(716) 826-2922
Mailing address
2793 SOUTH PARK AVENUE, LACKAWANNA, NY 14218
(716) 826-5555
(716) 826-2922

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
086159
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000503416001
BC/BS
01
0800037
JHA
Enumeration date
08/18/2006
Last updated
07/08/2007
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