Individual
CHARLES P WHITLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
304 W TIOGA ST, TUNKHANNOCK, PA 18657-6615
(570) 836-2224
Mailing address
200 MIFFLIN AVE, SCRANTON, PA 18503-1982
(570) 342-3145
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001829
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024885130003
—
PA
Enumeration date
01/11/2007
Last updated
12/01/2022
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