Individual
PUJA THAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
652 GREAT NORTHERN MALL, NORTH OLMSTED, OH 44070-3306
(440) 734-5037
(440) 734-0527
Mailing address
652 GREAT NORTHERN MALL, NORTH OLMSTED, OH 44070-3306
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6325
OH
Other
Enumeration date
06/23/2014
Last updated
03/11/2015
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