NPI | 1306027156 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY RICHARD VAN INWEGEN President 201-934-5678 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NJ 2016) |
Enumeration Date | 2007-11-21 |
Last Update Date | 2016-09-20 |