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Individual

MR. JAMES CERVONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
575 LINCOLN AVE, SUITE 100, BELLEVUE, PA 15202-3550
(412) 766-8875
(412) 766-5760
Mailing address
575 LINCOLN AVE, SUITE 100, BELLEVUE, PA 15202-3550
(412) 766-8875
(412) 766-5760

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0017377920001
PA
Enumeration date
04/25/2006
Last updated
08/21/2008
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