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Individual

DR. FAZALUDDIN SYED HASHMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D

Contact information

Practice address
621 W EDGAR RD, LINDEN, NJ 07036-6574
(718) 702-3981
Mailing address
67 WESTLEY RD, OLD BRIDGE, NJ 08857-3506
(718) 702-3981

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
27OA00665100
NJ
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
008281
NY

Other

Enumeration date
06/11/2015
Last updated
11/02/2016
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