Organization
CHRISTIE CARDELLINO, OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTIE CARDELLINO OD (OWNER)
(814) 242-3334
Entity
Organization
Contact information
Practice address
2441 BEDFORD ST, JOHNSTOWN, PA 15904-1440
(814) 242-3334
Mailing address
2441 BEDFORD ST, JOHNSTOWN, PA 15904-1440
(814) 242-3334
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002500
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026684310009
—
PA
Enumeration date
11/04/2014
Last updated
11/04/2014
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