Organization
BRANDE SAAD GROUP-BEDFORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY C TERRITO O.D. (OPTOMETRIST)
(814) 623-2020
Entity
Organization
Contact information
Practice address
111 FAIRVIEW ST., EVERETT, PA 15537-6337
(814) 623-2020
(814) 623-7816
Mailing address
111 FAIRVIEW ST., EVERETT, PA 15537-6337
(814) 623-2020
(814) 623-7816
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000603
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011774900006
—
PA
05
—
1007346180003
—
PA
Enumeration date
01/29/2007
Last updated
06/10/2016
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