Individual
LIVIA DERDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
101 OLD SHORT HILLS RD., SUITE 430, WEST ORANGE, NJ 07052
(973) 325-3300
Mailing address
101 OLD SHORT HILLS RD., SUITE 430, WEST ORANGE, NJ 07052
(973) 325-3300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00670100
NJ
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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