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NPI Code Detail

MEDICARE: JOHN PAUL CATRINO

MEDICARE:   JOHN PAUL CATRINO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1156FX1800XOptician

General Provider Information

NPI Number : 1811185317
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN PAUL CATRINO
Provider Business Mailing Address
First Line : 1831 CHESTNUT ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19103-3713
Country : US
Telephone Number : 215-557-0564
Fax Number :
Provider Business Practice Location Address
First Line : 1831 CHESTNUT ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19103-3713
Country : US
Telephone Number : 215-557-0564
Fax Number : 215-557-0567
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2007
Last Update Date : 10/09/2007

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Directions to “ JOHN PAUL CATRINO ” Practice Location

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