Individual
JOHN K MUCCIOLA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
120 MAIN ST, JOHNSTOWN, PA 15901-1507
(814) 536-5343
(814) 536-1525
Mailing address
PO BOX 580, JOHNSTOWN, PA 15907-0580
(814) 536-5343
(814) 536-1525
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000626
PA
Other
Enumeration date
06/06/2006
Last updated
07/08/2007
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