Individual
DR. MARK BRIAN BOAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
577 W UWCHLAN AVE, EXTON, PA 19341-1563
(610) 363-2303
Mailing address
577 W UWCHLAN AVE, EXTON, PA 19341-1563
(610) 363-2303
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001120
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2814726
CIGNA
PA
01
—
428694
BLUE SHIELD
PA
01
—
51940
AETNA HMO
PA
Enumeration date
08/30/2006
Last updated
02/29/2012
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