Organization
TRI-STATE EYE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEVERIN BOHDAN PALYDOWYCZ MD (OWNER)
(570) 296-9696
Entity
Organization
Contact information
Practice address
396 ROUTE 6 AND 209 STE 1, MILFORD, PA 18337-9490
(570) 296-9696
(570) 409-0316
Mailing address
396 ROUTE 6 AND 209 STE 1, MILFORD, PA 18337-9490
(570) 296-9696
(570) 409-0316
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
03/28/2007
Last updated
12/16/2024
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