Individual
DR. ELENA VITENZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
216 FRANKLIN AVE, NUTLEY, NJ 07110-2709
(973) 542-1105
(973) 542-1103
Mailing address
45 JEFFERSON AVE, TENAFLY, NJ 07670-1931
(201) 266-4208
(973) 542-1103
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00592900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3737782
AETNA
NJ
Enumeration date
09/25/2006
Last updated
07/08/2007
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