Individual
ROBERT FRANK CERAGNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
7733 BERGENLINE AVE, NORTH BERGEN, NJ 07047-4966
(201) 868-0768
(201) 868-2960
Mailing address
7733 BERGENLINE AVE, NORTH BERGEN, NJ 07047-4966
(201) 868-0768
(201) 868-2960
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
NJ 1720
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0024074
—
NJ
Enumeration date
06/19/2007
Last updated
07/08/2007
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