Individual
CHRYSTYNA RAKOCZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1800 LOMBARD ST, SUITE 701 PEPPER PAVILION, PHILADELPHIA, PA 19146-8400
(215) 893-2457
(215) 893-7514
Mailing address
1304 SOCIETY DR, CLAYMONT, DE 19703-1743
(302) 798-5777
(302) 798-4277
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000665
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0062431000
PA BLUE CROSS
PA
05
—
1211903
—
PA
Enumeration date
05/04/2006
Last updated
10/09/2007
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