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Individual

DR. VEENA ADUSUMILLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
100 BRODHEAD RD STE 100, BETHLEHEM, PA 18017-8935
(610) 465-1400
(610) 465-1700
Mailing address
100 BRODHEAD RD STE 100, BETHLEHEM, PA 18017-8935
(610) 465-1400
(610) 465-1700

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001752
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03120400
CAPITAL BLUE CROSS
PA
01
1966287
HIGHMARK BLUE SHIELD
PA
Enumeration date
12/12/2006
Last updated
12/12/2022
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