Doctor Name: | DR. JAMES PATRICK BOZZUTO |
NPI Number: | 1154381390 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.D. |
License Number: | OEG000521 |
Business Practice Address: | 6 N Main St Pittston, PA - 186401806 |
Business Phone Number: | 5706542020 |
Business Fax Number: | 5706556516 |
Mailing Address: | 6 N Main St, PITTSTON |
State: | PA |
Postal Code: | 186401806 |
Phone Number: | 5706542020 |
Fax Number: | 5706556516 |
NPI Enumeration Date: | 03/23/2006 |
NPI Last Update Date: | 04/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | OEG000521 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |