Organization
BERKELEY HEIGHTS EYE GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD OWEN LEVENTHAL M.D. (PRESIDENT)
(908) 464-4600
Entity
Organization
Contact information
Practice address
571 CENTRAL AVE STE 101, NEW PROVIDENCE, NJ 07974-1547
(908) 464-4600
(908) 464-4737
Mailing address
571 CENTRAL AVE STE 101, NEW PROVIDENCE, NJ 07974-1547
(908) 464-4600
(908) 464-4737
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4378890001
MEDICARE ID # FOR DMERC
NJ
Enumeration date
01/02/2008
Last updated
02/19/2013
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