Organization
BRUCE KASTNER, OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE DANIEL KASTNER OD (OWNER/OPTOMETRIST)
(732) 283-0682
Entity
Organization
Contact information
Practice address
6 DUNDEE AVE, ISELIN, NJ 08830-2119
(732) 283-0682
Mailing address
6 DUNDEE AVE, ISELIN, NJ 08830-2119
(732) 283-0682
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
27OA00496400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1654101
—
NJ
Enumeration date
02/22/2008
Last updated
02/22/2008
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