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Individual

DR. SAMUEL IRVING TILONSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
10 HADDON AVE, HADDON TOWNSHIP, NJ 08108-2706
(856) 854-6565
(856) 854-3258
Mailing address
10 HADDON AVE, HADDON TOWNSHIP, NJ 08108-2706
(856) 854-6565
(856) 854-3258

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00462600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0082737000
AMERIHEALTH
NJ
01
1047635
HORIZON NJ HEALTH
NJ
01
208567
AMERICHOICE
NJ
05
2282402
NJ
01
310782
NVA
NJ
01
35317
AETNA
NJ
01
37913
DAVISVISION
NJ
01
87925
SPECTERA
NJ
01
NJ04626
VBA
NJ
Enumeration date
10/29/2006
Last updated
02/25/2014
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