Individual
ELENA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
117 SPARTA AVE, SPARTA, NJ 07871-1773
(973) 726-0669
Mailing address
117 SPARTA AVE, SPARTA, NJ 07871-1773
(973) 726-0669
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00666600
NJ
152W00000X
Optometrist
27OM00134600
NJ
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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