Individual
DAVID S C PAO
Active
Individual
DAVID S C PAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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