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Individual

GREGORY A CALDWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
108 OLDE FARM OFFICE RD, DUNCANSVILLE, PA 16635-9417
(814) 695-3141
(814) 696-4780
Mailing address
108 OLDE FARM OFFICE RD, DUNCANSVILLE, PA 16635-9417
(814) 695-3141
(814) 696-4780

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000024
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0016242600017
PA
01
410031702
RR MEDICARE INDIVIDUAL
Enumeration date
11/02/2005
Last updated
02/12/2010
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