Organization
MOBILE VISION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC ANDREW GERSHENBAUM MD (LLC MEMBER)
(732) 431-9333
Entity
Organization
Contact information
Practice address
509 STILLWELLS CORNER ROAD, SUITE E5, FREEHOLD, NJ 07728-2965
(732) 431-9333
(732) 431-3312
Mailing address
509 STILLWELLS CORNER ROAD, SUITE E5, FREEHOLD, NJ 07728-2965
(732) 431-9333
(732) 431-3312
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
005273
NJ
207W00000X
Ophthalmology Physician
Primary
25MA07781000
NJ
Other
Enumeration date
01/03/2007
Last updated
12/10/2007
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