Ma Le Trieu, OD | |
134 Kingsland Rd Ste 3, Clifton, NJ 07014-1915 | |
(973) 405-2548 | |
Not Available |
Full Name | Ma Le Trieu |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 134 Kingsland Rd Ste 3, Clifton, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023156643 | NPI | - | NPPES |
0317446 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 27OA00630700 (New Jersey) | Primary |
152W00000X | Optometrist | TUV007689-1 (New York) | Secondary |
152W00000X | Optometrist | OEG001868 (Pennsylvania) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Ma Le Trieu, OD 134 Kingsland Rd Ste 3, Clifton, NJ 07014-1915 Ph: (215) 882-3879 | Ma Le Trieu, OD 134 Kingsland Rd Ste 3, Clifton, NJ 07014-1915 Ph: (973) 405-2548 |
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