Individual
DR. JOHN P AMADIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
150 S. 69TH ST., UPPER DARBY, PA 19082
(610) 352-6787
Mailing address
252 LEE CIRCLE, BRYN MAWR, PA 19010
(610) 525-7080
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE006376T
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01761671
—
PA
Enumeration date
10/04/2006
Last updated
07/08/2007
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