| NPI | 1003973595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC ANDREW GERSHENBAUM LLC Member 732-431-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA07781000) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 005273) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-12-10 |