Individual
CHRISTIAN JOHN KUBICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
393 MILLBURN AVE, MILLBURN, NJ 07041-1326
(973) 467-1690
(973) 258-9075
Mailing address
393 MILLBURN AVE, MILLBURN, NJ 07041-1326
(973) 467-1690
(973) 258-9075
Taxonomy
Speciality
Code
Description
License number
State
156FX1101X
Ophthalmic Assistant
D3159
NJ
156FX1800X
Optician
Primary
D3159
NJ
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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