Individual
DR. ERIC PAUL BENNICOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
208 MAIN ST, STROUDSBURG, PA 18360-2575
(570) 476-1114
Mailing address
607 BUSHKILL CENTER RD, NAZARETH, PA 18064-9486
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002823
PA
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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