Individual
CHARLES M TARNOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
120 S 7TH ST, INDIANA, PA 15701-2739
(724) 465-6232
(724) 465-0340
Mailing address
120 S 7TH ST, INDIANA, PA 15701-2739
(724) 465-6232
(724) 465-0340
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000382
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005499940011
—
PA
Enumeration date
02/20/2006
Last updated
02/04/2009
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