Individual
EDWARD THOMAS MARSHALECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
132 BELLEVUE AVE, PENNDEL, PA 19047-5256
(215) 752-3252
(215) 752-3252
Mailing address
PO BOX 7203, PENNDEL, PA 19047-7203
(215) 752-3252
(215) 752-3252
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000900
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0546740
—
PA
Enumeration date
03/31/2006
Last updated
04/04/2008
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