| |
275 Route 10 East, Suite 242, Succasunna, NJ 07876 | |
(973) 252-1777 | |
(973) 252-9543 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 275 Route 10 East, Succasunna, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578622270 | NPI | - | NPPES |
7452004 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 27OA00550300 (New Jersey) | Primary |
Mailing Address | Practice Location Address |
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275 Route 10 East, Suite 242, Succasunna, NJ 07876 Ph: (973) 252-1777 | 275 Route 10 East, Suite 242, Succasunna, NJ 07876 Ph: (973) 252-1777 |