Emil Martirosyan, OD | |
400 Park Pl, Secaucus, NJ 07094-3654 | |
(201) 325-9277 | |
Not Available |
Full Name | Emil Martirosyan |
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Gender | Male |
Speciality | Optometrist |
Location | 400 Park Pl, Secaucus, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407450299 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 27OA00702000 (New Jersey) | Primary |
Provider Name | Emil Martirosyan Od |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1760253777 PECOS PAC ID: 9830533918 Enrollment ID: O20240216001017 |
Mailing Address | Practice Location Address |
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Emil Martirosyan, OD 42 New York Ave Apt 1, Newark, NJ 07105-5187 Ph: () - | Emil Martirosyan, OD 400 Park Pl, Secaucus, NJ 07094-3654 Ph: (201) 325-9277 |
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