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Individual

DR. JACOB BEDZRAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
301 MOUNT HOPE AVE, ROCKAWAY, NJ 07866-2130
(973) 668-3579
(973) 442-1777
Mailing address
99 LONGVIEW ST, WEST ORANGE, NJ 07052-4857
(973) 901-5042

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
008908
NY
152W00000X
Optometrist
Primary
27OA00684500
NJ

Other

Enumeration date
11/07/2018
Last updated
02/08/2019
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