Individual
DR. J J SUYDAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2087 E HIGH ST, POTTSTOWN, PA 19464
(610) 323-0133
(610) 323-3224
Mailing address
2087 E HIGH ST, POTTSTOWN, PA 19464-3211
(610) 323-0133
(610) 323-3224
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000916
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01156230
—
PA
Enumeration date
12/16/2005
Last updated
01/15/2008
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