Individual
RONALD SIWOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
75 BLOOMFIELD AVE, SUITE 206, DENVILLE, NJ 07834-2734
(973) 627-7787
(973) 627-7701
Mailing address
75 BLOOMFIELD AVE, SUITE 206, DENVILLE, NJ 07834-2734
(973) 627-7787
(973) 627-7701
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
27OA003818
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2795942
AETNA
NJ
01
—
410047651
RAILROAD MEDICARE
NJ
01
—
78022238353240
HORIZON BC/BS
NJ
Enumeration date
07/05/2005
Last updated
05/28/2010
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