Organization
PRAVAK & ASSOCIATES PC
Active
Organization
PRAVAK & ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROMAN OREST PRAVAK M.D. (AUTHORIZED REP/OWNER)
(484) 526-3010
Entity
Organization
Contact information
Practice address
800 OSTRUM ST STE 100, FOUNTAIN HILL, PA 18015-1010
(484) 526-3010
(484) 526-3591
Mailing address
800 OSTRUM ST STE 100, FOUNTAIN HILL, PA 18015-1010
(484) 526-3010
(484) 526-3591
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
PA
207WX0107X
Retina Specialist (Ophthalmology) Physician
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103150256-0001
—
PA
Enumeration date
07/07/2016
Last updated
07/21/2022
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