Individual
DR. ROBERT S. DUSZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-5800
Mailing address
2112 PINE ST, APT 2, PHILADELPHIA, PA 19103-2573
(215) 520-2329
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
I3-0001278
DE
152W00000X
Optometrist
Primary
OEG000317
PA
Other
Enumeration date
09/19/2006
Last updated
07/08/2007
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