Organization
RICHARD S. KRESLOFF MD PA
Active
Parent organization
RICHARD S. KRESLOFF MD PA
Other names
Drs. Kresloff and Young Optical
Organization subpart
Yes
Provider details
NPI number
Legal business name
RICHARD S. KRESLOFF MD PA
Authorized official
DR. RICHARD S KRESLOFF MD (MD PA)
(856) 854-4242
Entity
Organization
Contact information
Practice address
900 HADDON AVE, STE 102, COLLINGSWOOD, NJ 08108-2101
(856) 854-4242
(856) 854-3585
Mailing address
900 HADDON AVE, STE 102, COLLINGSWOOD, NJ 08108-2101
(856) 854-4242
(856) 854-3585
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2994500
—
NJ
Enumeration date
12/18/2007
Last updated
07/01/2008
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