Organization
BROADWAY VISION SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHINWENDU ANUKWUEM O.D. (OWNER)
(973) 268-2565
Entity
Organization
Contact information
Practice address
59 BROADWAY, NEWARK, NJ 07104-2503
(972) 268-2565
(973) 484-3868
Mailing address
59 BROADWAY, NEWARK, NJ 07104-2503
(972) 268-2565
(973) 484-3868
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00509100
NJ
Other
Enumeration date
05/17/2007
Last updated
05/16/2013
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