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NPI Verification

National Provider Identifier: 1114975166

County of Essex

Organization

Primary Specialty

Ophthalmology

Code: 207W00000X

All Specialties (4)

Podiatrist

Code: 213E00000X

Urology

Code: 208800000X

Psychiatry & Neurology, Neurology

Code: 2084N0400X

Ophthalmology

Code: 207W00000X

Primary

Practice Address

204 GROVE AVE

CEDAR GROVE, NJ 070091436

Phone: 973-571-2800

NPI Enumeration Date

May 4, 2006

NPI Number

1114975166

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry