Individual
CHARLES EDWARD DUPLAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE007008T
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018067460002
—
PA
01
—
50905
DAVIS VISION
PA
01
—
910529
EYE MED VISION CARE
PA
Enumeration date
04/17/2007
Last updated
01/19/2008
Update your record
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