NPI | 1780883652 |
---|---|
Professional Name | EDWARD ARTHUR FORSZT |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 0A4557) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NJ OA4557) |
Enumeration Date | 2007-07-12 |
Last Update Date | 2007-07-12 |