| NPI | 1750302808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN D MELLUL Sole Proprietor 856-334-8227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MB07476600) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2013-05-01 |