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Individual

DR. JAMES P. MCAVOY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1201A NORTH CHURCH STREET, SUITE 100, HAZLE TOWNSHIP, PA 18202-1443
(570) 454-6302
(570) 454-3564
Mailing address
1201A NORTH CHURCH STREET, SUITE 100, HAZLE TOWNSHIP, PA 18202-1443
(570) 454-6302
(570) 454-3564

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001270
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
076389
PA
Enumeration date
06/02/2006
Last updated
10/21/2011
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