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Individual

DENISE M VISCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1880 KENNETH ROAD, SUITE 1, YORK, PA 17404
(717) 767-2000
(717) 767-2013
Mailing address
1880 KENNETH ROAD, SUITE 1, YORK, PA 17404
(717) 767-2000
(717) 767-2013

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD056382L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07168407
PA
Enumeration date
10/03/2005
Last updated
04/20/2011
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