Organization
MERVIN W STOLTZFUS OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MERVIN W STOLTZFUS (OWNER)
(610) 593-6670
Entity
Organization
Contact information
Practice address
316 NEWPORT AVE, CHRISTIANA, PA 17509-1312
(610) 593-6670
Mailing address
PO BOX 75, CHRISTIANA, PA 17509
(610) 593-6670
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001396
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0546535
—
PA
Enumeration date
06/12/2006
Last updated
04/04/2008
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