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Individual

DR. GREGORY EDWIN DZIUBEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
706 BRISTLECONE DR, GIBSONIA, PA 15044-6135
(412) 337-2155
(724) 933-4608
Mailing address
PO BOX 101475, PITTSBURGH, PA 15237-8475
(412) 337-2155
(724) 933-4608

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000458
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001569187 0005
PA
Enumeration date
06/23/2006
Last updated
03/24/2015
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