Individual
DR. RICHARD M. KOWALSKI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4100 LINGLESTOWN RD, HARRISBURG, PA 17112-1071
(717) 657-2020
(717) 657-2071
Mailing address
111 TRILLIUM DR, PALMYRA, PA 17078-9006
(717) 657-2020
(717) 657-2071
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000119
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017250110001
—
PA
Enumeration date
01/25/2006
Last updated
07/08/2007
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