Organization
ELLIOTT J. KLONSKY OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIOTT JOSEPH KLONSKY O.D. (OWNER)
(410) 721-2500
Entity
Organization
Contact information
Practice address
2225C DEFENSE HWY, CROFTON, MD 21114-2403
(410) 721-2500
Mailing address
2225C DEFENSE HWY, CROFTON, MD 21114-2403
(410) 721-2500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TAO687
MD
332H00000X
Eyewear Supplier
TAO687
MD
Other
Enumeration date
02/13/2008
Last updated
04/04/2008
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