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Organization

BERKS EYE PHYSICIANS & SURGEONS, LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DOMENIC C IZZO JR. M.D. (PRESIDENT)
(610) 372-0712
Entity
Organization

Contact information

Practice address
1802 PAPERMILL RD, WYOMISSING, PA 19610-1100
(610) 372-0712
(610) 376-6968
Mailing address
1802 PAPERMILL RD, WYOMISSING, PA 19610-1100
(610) 372-0712
(610) 376-6968

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0374260001
NHIC-DME
PA
Enumeration date
06/14/2007
Last updated
08/22/2020
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