| |
1549 Union Valley Rd, West Milford, NJ 07480-1359 | |
(973) 728-1101 | |
(973) 728-8535 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 1549 Union Valley Rd, West Milford, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639531783 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 27OA00565600 (New Jersey) | Primary |
Provider Name | Adriana Palumbo |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1841233418 PECOS PAC ID: 1759366610 Enrollment ID: I20040623001080 |
Mailing Address | Practice Location Address |
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6 Hoover Pl, Wayne, NJ 07470-2607 Ph: (973) 204-4452 | 1549 Union Valley Rd, West Milford, NJ 07480-1359 Ph: (973) 728-1101 |