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1437369667
FRED A PODBIELAK
ELIZABETH, NJ
NPI
1437369667
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: NJ TD-2296)
Enumeration Date
2007-05-23
Last Update Date
2007-07-09
Business Address
-- FRED A PODBIELAK OPTHALMIC DISPENSER
701 NEWARK AVE STE 204
ELIZABETH, NJ 07208-3550
Phone number: 908-355-2774
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Mailing Address
-- FRED A PODBIELAK OPTHALMIC DISPENSER
701 NEWARK AVE STE 204
ELIZABETH, NJ 07208-3550
Phone number: 908-355-2774
Copy
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