MICHAEL PASQUALE DERENZO

BLACKWOOD, NJ
NPI1114678646
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: NY  006765)
Enumeration Date2022-01-17
Last Update Date2022-01-17
Business Address
Mr. MICHAEL PASQUALE DERENZO LDO
1 HARMON DR
BLACKWOOD, NJ 08012-5103
Phone number: 856-228-1000
Mailing Address
Mr. MICHAEL PASQUALE DERENZO LDO
1 HARMON DR
BLACKWOOD, NJ 08012-5103
Phone number: 856-228-1000
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