Thomas George Bastholm, O.D.

NPI #1295808848 in Lewes, Delaware

Provider Information

NPI Number
1295808848
Entity Type
Individual
Name
Thomas George Bastholm, O.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Nov 15, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1540 SAVANNAH RD
City
Lewes
ZIP Code
19958-1682
Phone
(302) 645-2020

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