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Individual

MARK HOWARD NACHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
RT 209 BOX 319, BRODHEADSVILLE, PA 18322-0319
(570) 992-5454
(570) 992-4466
Mailing address
PO BOX 319, BRODHEADSVILLE, PA 18322-0319
(570) 992-5454
(570) 992-4466

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE4620P
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
073907
FP HEALTH
PA
01
51962
DAVIS VISION
PA
Enumeration date
12/08/2006
Last updated
07/08/2007
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