Individual
IGOR DAVID NESTOROWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4345 US RT 9 NORTH, FREEHOLD, NJ 07728
(732) 431-1004
Mailing address
4345 US RT 9 NORTH, FREEHOLD, NJ 07728
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00607300
NJ
152W00000X
Optometrist
VUT005869
NY
Other
Enumeration date
09/15/2006
Last updated
03/24/2008
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