Individual
JOSHUA COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ABOC
Contact information
Practice address
401 E BALTIMORE PIKE, WEST GROVE, PA 19390-9265
(864) 906-4778
Mailing address
137 ROSEHILL AVE, WEST GROVE, PA 19390-1214
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
180344
—
332H00000X
Eyewear Supplier
180344
PA
Other
Enumeration date
11/13/2021
Last updated
11/13/2021
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