Individual
BRENDAN SEWALL CONNORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
281 AIRPORT RD, HAZLE TOWNSHIP, PA 18202-3320
(570) 453-2020
Mailing address
4854 NOBLES POND DR NW, CANTON, OH 44718-3846
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG003693
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2020
Last updated
10/16/2020
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