Individual
MARGARET M MASTRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001320
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001214422
—
PA
05
—
0807121
—
OH
Enumeration date
11/25/2005
Last updated
07/06/2010
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