Provider Demographics
NPI:1053635714
Name:TURCO, DOMENIC ANGELO
Entity Type:Individual
Prefix:
First Name:DOMENIC
Middle Name:ANGELO
Last Name:TURCO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 OLD GATESBURG RD STE 300
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16803-2276
Mailing Address - Country:US
Mailing Address - Phone:814-234-1002
Mailing Address - Fax:814-234-6251
Practice Address - Street 1:1700 OLD GATESBURG RD STE 300
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16803-2276
Practice Address - Country:US
Practice Address - Phone:814-234-1002
Practice Address - Fax:814-234-6251
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-23
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS016846207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology