| 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 |