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Individual

DR. R. DOUGLAS QUAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2030 W TILGHMAN ST STE 101, ALLENTOWN, PA 18104-4354
(610) 432-3258
(610) 289-2100
Mailing address
2030 W TILGHMAN ST STE 101, ALLENTOWN, PA 18104-4354
(610) 432-3258
(610) 289-2100

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE-T008757
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0003330
AETNA PIN#
PA
01
01395401
BLUE CROSS
PA
01
0201390001
MEDICARE DMERC
PA
01
51971
DAVIS VISION
PA
01
OE-T008757
LICENSE NUMBER
PA
Enumeration date
10/04/2006
Last updated
02/20/2008
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