Individual
JOSEPH F CIMOCHOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000531
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001156220
—
PA
01
—
072544
FIRST PRIORITY HEALTH
—
01
—
182939040
RAILROAD MEDICARE
—
01
—
20968
GEISINGER HEALTH PLAN
—
01
—
506554
AETNA
—
01
—
CI060799
HIGH MARK BLUE SHIELD
—
Enumeration date
08/13/2006
Last updated
01/06/2010
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