Bouquet Mulligan Demaio Eye Professionals

NPI #1639506843 in Elizabethtown, Pennsylvania

Provider Information

NPI Number: 1639506843
Entity Type: Organization
Organization Name: Bouquet Mulligan Demaio Eye Professionals
Primary Specialty: Optometrist
Enumeration Date: Oct 2, 2013
Last Updated: Oct 2, 2013

Practice Location

Address: 600 FREE MASON DRIVE
City: Elizabethtown
State: Pennsylvania
ZIP Code: 17022
Phone: (717) 272-0581

Authorized Official

Name: MR. GREGORY M BRACALE
Title: ADMININSTRATOR
Phone: (717) 272-0581

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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