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Organization

RIDGEDALE FAMILY EYE CARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JERROLD FRUCHTMAN OD (OWNER)
(973) 301-0400
Entity
Organization

Contact information

Practice address
171 RIDGEDLALE AVE., SUITE H, FLORHAM PARK, NJ 07932-1764
(973) 301-0400
Mailing address
171 RIDGEDLALE AVE., SUITE H, FLORHAM PARK, NJ 07932-1764
(973) 301-0400

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00590400
NJ

Other

Enumeration date
04/14/2016
Last updated
04/14/2016
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