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Organization

PEDIATRIC OPHTHALMOLOGY ASSOCIATES, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAY M. BERNSTEIN M.D. (PRESIDENT)
(973) 326-8895
Entity
Organization

Contact information

Practice address
218 RIDGEDALE AVE, SUITE 100, CEDAR KNOLLS, NJ 07927-2109
(973) 326-8895
(973) 326-6805
Mailing address
218 RIDGEDALE AVE, SUITE 100, CEDAR KNOLLS, NJ 07927-2109
(973) 326-8895
(973) 326-6805

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8938202
NJ
Enumeration date
05/25/2006
Last updated
08/11/2010
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