Individual
DR. CHRISTINA MARIE GILLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
314 HONESDALE RD, WAYMART, PA 18472-9338
(570) 488-6710
(570) 571-6050
Mailing address
314 HONESDALE RD, PO BOX 310, WAYMART, PA 18472-9338
(570) 488-6710
(570) 571-6050
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002110
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025943650001
—
PA
01
—
P00943091
RAILROAD MEDICARE
PA
Enumeration date
09/30/2008
Last updated
02/11/2016
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