Individual
MR. AJAY GAUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
204 EXTON SQUARE MALL, EXTON, PA 19341-2442
(610) 363-1164
Mailing address
2530 COUNTRY TOP TRL, BETHLEHEM, PA 18020-8838
(610) 866-6682
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE00008371T
PA
156F00000X
Technician/Technologist
—
—
156FC0800X
Contact Lens Technician/Technologist
—
—
156FX1800X
Optician
—
—
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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