| NPI | 1639476310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA D CABRALES Administrative Asst. 908-687-0330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA05390500) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OM00051600) |
| 152W00000X Optometrist (Licence: NJ 27OM00090700) | |
| 152W00000X Optometrist (Licence: NJ 27OM00089400) | |
| 207W00000X Ophthalmology (Licence: NJ 25MA07525600) | |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2011-07-21 |