| NPI | 1548202948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY RICHARD VAN INWEGEN Medical Director 201-327-3006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ MA63643) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00583100) |
| 152W00000X Optometrist (Licence: NJ 27OA00638500) | |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2016-09-20 |