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EAST BRUNSWICK, NJ
NPI1164706651
Entity TypeOrganization
Authorized ContactVAIRONA S MIKHAIL
Provider
732-651-2070
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
(Licence: NJ  27OA00585600)
Enumeration Date2011-10-04
Last Update Date2011-10-28
Business Address
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561 CRANBURY RD SUITE E
EAST BRUNSWICK, NJ 08816-5400
Phone number: 732-651-2070
Mailing Address
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561 CRANBURY RD SUITE E
EAST BRUNSWICK, NJ 08816-5400
Phone number: 732-651-2070