Organization
BOUQUET MULLIGAN DEMAIO EYE PROFESSIONALS
Active
Organization
BOUQUET MULLIGAN DEMAIO EYE PROFESSIONALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY M BRACALE (ADMININSTRATOR)
(717) 272-0581
Entity
Organization
Contact information
Practice address
1676 S MARKET ST, ELIZABETHTOWN, PA 17022-2853
(717) 272-0581
Mailing address
1676 S MARKET ST, ELIZABETHTOWN, PA 17022-2853
(717) 272-0581
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
10/10/2008
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