Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | OEG001801 | PA |
NPI | 1003938945 |
---|---|
Provider Name | Dr. Joseph C Scaruzzo |
First Address | Harrisburg, PA 17111-5138 |
Second Address | Harrisburg, PA 17111-5138 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2007 |
Last Update Date | 10/06/2016 |