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Contact Information

GEORGIETTA R GDOVIN, OD
101 MONTGOMERY MALL
NORTH WALES, PA19454
 Phone: 215-361-2400
 Fax: 215-361-0917
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for GEORGIETTA R GDOVIN · (Female)

NPI Number 1518060482
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 09/06/2006
Last updated 08/22/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • PA License # OEG000359
  • PA Medicaid 001954598 0008
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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