Organization
GARDEN STATE EYE CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSHE M ROTHKOPF MD (PRESIDENT OWNER)
(732) 363-2244
Entity
Organization
Contact information
Practice address
1195 HIGHWAY 70, LAKEWOOD, NJ 08701-5946
(732) 363-2244
(732) 363-1825
Mailing address
1195 HIGHWAY 70, LAKEWOOD, NJ 08701-5946
(732) 363-2244
(732) 363-1825
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1051964
AETNA
—
05
—
3421708
—
NJ
Enumeration date
03/14/2007
Last updated
11/14/2008
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