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Individual

MR. JOSEPH A LEGRAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.C.O.

Contact information

Practice address
590 REED RD STE 7, BROOMALL, PA 19008-3654
(215) 496-1307
(215) 496-1693
Mailing address
590 REED RD STE 7, BROOMALL, PA 19008-3654
(215) 496-1307
(215) 496-1693

Taxonomy

Speciality
Code
Description
License number
State
156FX1700X
Ocularist
224P00000X
Prosthetist
Primary
84-190

Other

Enumeration date
05/11/2007
Last updated
11/09/2021
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