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Organization

PAUL J SUSCAVAGE OD

Active
Other names
Family Vision
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GAYLE WILD (OFFICE MANAGER)
(215) 368-4660
Entity
Organization

Contact information

Practice address
850 S VALLEY FORGE RD, LANSDALE, PA 19446-4261
(215) 368-4660
(215) 368-1776
Mailing address
850 S VALLEY FORGE RD, LANSDALE, PA 19446-4261
(215) 368-4660
(215) 368-1776

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG-001503

Other

Enumeration date
03/06/2008
Last updated
03/06/2008
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