Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician |
NPI | 1225152234 |
---|---|
Provider Name | Joseph Arthur Virone |
First Address | Mount Laurel, NJ 08054-3308 |
Second Address | Philadelphia, PA 19103-6148 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2007 |
Last Update Date | 08/07/2007 |