Individual
DAVID ALEX SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
28 VILLAGE GRN, APT E, BUDD LAKE, NJ 07828-1328
(914) 500-3962
(732) 748-8734
Mailing address
28 VILLAGE GRN, APT E, BUDD LAKE, NJ 07828-1328
(914) 500-3962
(732) 748-8734
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00654700
NJ
Other
Enumeration date
07/28/2014
Last updated
09/29/2016
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