| NPI | 1073632477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEON J HUPPERT Owner 732-367-0699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207WX0009X Ophthalmology Glaucoma Specialist |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2017-08-24 |