Radoslav Ivanov, OD

NPI #1093120701 in Allentown, Pennsylvania

Provider Information

NPI Number: 1093120701
Entity Type: Individual
Name: Radoslav Ivanov, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jun 23, 2014
Last Updated: May 30, 2016

Practice Location

Address: 401 N 17TH ST
Address 2: SUITE 103
City: Allentown
State: Pennsylvania
ZIP Code: 18104-5034
Phone: (610) 969-3070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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