NPI 1013062132
John J Baab, OPTICIAN
Practice location
- Address
- 165 N Mountain Blvd, Mountain Top, PA 18707-1127
- Phone
- (570) 474-9082
- Fax
- (570) 474-9760
Registered specialties
Optician
Primary
Registry record
- NPI
- 1013062132
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Jan 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.