| NPI | 1124185582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE L GONCHAR President 732-613-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NJ 31TD00135400) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2008-03-18 |