Individual
DAVID S C PAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1609 WOODBOURNE RD, SUTIE 303, LEVITTOWN, PA 19057-1500
(215) 547-1818
(215) 547-5174
Mailing address
1609 WOODBOURNE RD, SUTIE 303, LEVITTOWN, PA 19057-1500
(215) 547-1818
(215) 547-5174
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
25MA03417700
NJ
207W00000X
Ophthalmology Physician
Primary
MD013207E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000175406
HIGHMARK BLUE SHIELD
PA
01
—
00219380000
IBC HMO
PA
Enumeration date
12/12/2006
Last updated
05/25/2021
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