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Individual

MARK BAMPTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1000 ATLANTIC AVE, CAMDEN, NJ 08104-1132
(805) 208-8614
Mailing address
1502 PHEASANT HOLLOW DR, PLAINSBORO, NJ 08536-3508
(805) 208-8614

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
270A00673500
NJ
152W00000X
Optometrist
27OA00673500
NJ
152W00000X
Optometrist
OEG003858
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
270A00673500
NJ STATE OPTOMETRIST LICENSE
NJ
Enumeration date
07/02/2014
Last updated
05/10/2022
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