Individual
DR. VEENA VERGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
115 FRANKLIN TPKE, MAHWAH, NJ 07430-1325
(201) 684-9000
(201) 684-9002
Mailing address
115 FRANKLIN TPKE, MAHWAH, NJ 07430-1325
(201) 684-9000
(201) 684-9002
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
14576TLG
CA
152W00000X
Optometrist
Primary
NJ27OA00695000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPT 14576
LICENSE
CA
Enumeration date
09/12/2012
Last updated
09/20/2021
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