Individual
SHAKIL MUSTAFA SYED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4080 HUNTER CT, EASTON, PA 18045
(717) 343-4373
Mailing address
4080 HUNTER CT, EASTON, PA 18045
(717) 505-7914
(717) 343-4373
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001631
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015157790001
—
PA
Enumeration date
02/02/2006
Last updated
06/06/2011
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