Individual
DEBRA A FIRESTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
65 MOUNTAIN BLVD EXT, WARREN, NJ 07059-2632
(732) 356-6200
(732) 356-9257
Mailing address
65 MOUNTAIN BLVD EXT, WARREN, NJ 07059-2632
(732) 356-6200
(732) 356-9257
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA07097100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8405107
—
NJ
Enumeration date
05/12/2006
Last updated
10/26/2022
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