Individual
DR. JEFFREY C TERRITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
111 FAIRVIEW ST, EVERETT, PA 15537-6337
(814) 623-2020
(814) 623-7816
Mailing address
111 FAIRVIEW ST, EVERETT, PA 15537-6337
(814) 623-2020
(814) 623-7816
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000603
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011774900006
—
PA
Enumeration date
01/23/2006
Last updated
09/02/2014
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