Individual
DR. DAVID WALTER JASKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
ROUTE 18, WALMART PLAZA, MONAGA, PA 15061
(724) 773-2930
(724) 773-2932
Mailing address
340 PINKERTON ROAD, WEXFORD, PA 15090-8678
(724) 934-1664
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0EG000791
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
441677
BC
—
Enumeration date
09/16/2006
Last updated
07/08/2007
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