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Individual

ANTHONY DO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
ROUTES 11 &15, SPACE #G-4, SUSQUEHANNA VALLEY MALL, SELINSGROVE, PA 17870
(570) 372-1500
Mailing address
24 LINCOLN DR, TAMAQUA, PA 18252-4317
(570) 952-5691

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001863
PA

Other

Enumeration date
11/16/2006
Last updated
07/08/2007
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