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DR. EUGENE THOMAS PARTRIDGE MD
>> Ophthalmology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1184738270
Individual Registrant:DR. EUGENE THOMAS PARTRIDGE MD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
2793 SOUTH PARK AVENUE LACKAWANNA, NY 14218 US
Tel: 716-826-5555 Fax: 716-826-2922
Tel: 716-826-5555 Fax: 716-826-2922
Contact information for business:
2793 SOUTH PARK AVENUE LACKAWANNA, NY 14218 US
Tel: 716-826-5555 Fax: 716-826-2922
Tel: 716-826-5555 Fax: 716-826-2922
Registration Information:
NPI: 1184738270
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207W00000X | Allopathic & Osteopathic Physicians Ophthalmology | NY | 086159 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BC/BS | 000503416001 | 01 | |
| JHA | 0800037 | 01 |
