Individual
DR. THOMAS DAVID PASSARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1304 BALTIMORE ST, HANOVER, PA 17331
(717) 632-8600
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(866) 795-4020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000734
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01048976
—
PA
Enumeration date
10/16/2006
Last updated
08/10/2018
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