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Individual

DR. JOHN EMMANUEL KOMIS ACKEP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
864 ROUTE 37 W, 5723, TOMS RIVER, NJ 08755-5033
(732) 341-7433
Mailing address
235 CENTRAL AVE, METUCHEN, NJ 08840-1242
(732) 484-5821

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00665300
NJ
152W00000X
Optometrist
TUV008387
NY

Other

Enumeration date
10/18/2009
Last updated
03/22/2016
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