| NPI | 1154349793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA ANN TAYLOR Office Manager 609-927-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA06345500) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OM00013700) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2008-03-25 |