Individual
DR. DENNIS THADDEUS KWIATKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2370 YORK RD, BLDG E-3, JAMISON, PA 18929-1031
(215) 343-5524
(215) 343-6439
Mailing address
2370 YORK RD, BLDG E-3, JAMISON, PA 18929-1031
(215) 343-5524
(215) 343-6439
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000183
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023534000
BS & KEYSTONE EAST
—
01
—
0055308
AETNA HMO
—
05
—
01618352
—
PA
01
—
112504
EYEMED VISION PLAN
—
01
—
36056
DAVIS VISION
—
01
—
396250
NATIONAL VISION ADMINISTR
—
01
—
4404599
AETNA PPO
—
01
—
JE13853
SPECTERA VISION
—
01
—
OEG000183
VISION BENEFITS OF AMERIC
—
Enumeration date
08/18/2006
Last updated
07/22/2009
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