Peter S. Klem Fred P. Guarcello Ptr

NPI #1366600082 in Modesto, California

Provider Information

NPI Number: 1366600082
Entity Type: Organization
Organization Name: Peter S. Klem Fred P. Guarcello Ptr
Primary Specialty: Optometrist
Enumeration Date: May 29, 2008
Last Updated: Jun 15, 2011

Practice Location

Address: 4028 DALE ROAD
Address 2: SUITE 102
City: Modesto
State: California
ZIP Code: 95356-9561
Phone: (209) 527-7784

Authorized Official

Name: DR. FRED PAUL GUARCELLO, O.D.
Title: PARTNER
Phone: (209) 527-7784

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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