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Organization

FAMILY VISION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL JACOB SUSCAVAGE OD (MANAGING MEMBER)
(215) 368-4660
Entity
Organization

Contact information

Practice address
1601 S VALLEY FORGE RD, LANSDALE, PA 19446-5450
(215) 368-4660
(215) 368-7176
Mailing address
1601 S VALLEY FORGE RD, LANSDALE, PA 19446-5450
(215) 368-4660
(215) 368-7176

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001503
PA

Other

Enumeration date
06/14/2007
Last updated
06/30/2008
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