NPI | 1659473973 |
---|---|
Entity Type | Organization |
Authorized Contact | LORI MCCANN Practice Consultant 908-781-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA04973100) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NJ OA05514) |
Enumeration Date | 2006-09-05 |
Last Update Date | 2008-07-01 |