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Individual

DR. JONATHAN WASSERSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
184 S LIVINGSTON AVE, LIVINGSTON, NJ 07039-3014
(973) 758-1151
(973) 758-1152
Mailing address
184 S LIVINGSTON AVE, LIVINGSTON, NJ 07039-3014
(973) 758-1151
(973) 758-1152

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1727
NC
152W00000X
Optometrist
Primary
27OA00608600
NJ
152W00000X
Optometrist
3861
FL
152W00000X
Optometrist
V005967
NY

Other

Enumeration date
07/19/2005
Last updated
03/04/2008
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