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Individual

DR. IVAN TSENG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1200 E RIDGEWOOD AVE STE 213, RIDGEWOOD, NJ 07450-3937
(201) 612-0044
Mailing address
431 WESTVIEW PL, FORT LEE, NJ 07024-3916
(201) 966-4272

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00669100
NJ
152W00000X
Optometrist
27OM00136800
NJ
152W00000X
Optometrist
TUV008161-1
NY

Other

Enumeration date
06/08/2015
Last updated
10/19/2022
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