Individual
DR. ANTHONY T MOLITORIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1500 SANS SOUCI PKWY, HANOVER TOWNSHIP, PA 18706-6028
(570) 823-0700
(570) 823-6704
Mailing address
1500 SANS SOUCI PKWY, HANOVER TOWNSHIP, PA 18706-6028
(570) 823-0700
(570) 823-6704
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000470
PA
332H00000X
Eyewear Supplier
OEG000470
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061615
PTAN
PA
Enumeration date
10/10/2006
Last updated
05/14/2013
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