Organization
BARRY J. EDISON D.O. P.C.
Active
Organization
BARRY J. EDISON D.O. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY J. EDISON D.O. (OWNER)
(732) 542-0300
Entity
Organization
Contact information
Practice address
10 INDUSTRIAL WAY E, SUITE 102, EATONTOWN, NJ 07724-3332
(732) 542-0300
(732) 935-0533
Mailing address
10 INDUSTRIAL WAY E, SUITE 102, EATONTOWN, NJ 07724-3332
(732) 542-0300
(732) 935-0533
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
MB72146
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF2658
RAILROAD MEDICARE
NJ
Enumeration date
07/14/2006
Last updated
11/17/2011
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