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Individual

DAVID HARDIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
57 JENNERS VILLAGE CTR, WEST GROVE, PA 19390-8102
(610) 869-4200
(610) 869-2511
Mailing address
57 JENNERS VILLAGE CTR, WEST GROVE, PA 19390-8102
(610) 869-4200
(610) 869-2511

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000831
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001400099
PA
Enumeration date
07/29/2005
Last updated
05/27/2014
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