Organization
JG OPTICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA GOULD D.O. (PRESIDENT)
(973) 743-1353
Entity
Organization
Contact information
Practice address
108 BROUGHTON AVE, BLOOMFIELD, NJ 07003
(973) 743-1353
(973) 743-6577
Mailing address
108 BROUGHTON AVE, BLOOMFIELD, NJ 07003-3989
(973) 743-1353
(973) 743-6577
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
TD3340
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300090701
—
NJ
Enumeration date
11/28/2006
Last updated
06/25/2024
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