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Individual

DR. LOUIS JOHN FORNASIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
6725 BLACK HORSE PIKE, BOSCOV OPTOCAL DEPT, EGG HARBOR TWP, NJ 08234-3904
(609) 742-3353
(609) 652-6770
Mailing address
6725 BLACK HORSE PIKE, BOSCOV OPTOCAL DEPT, EGG HARBOR TWP, NJ 08234-3904
(609) 742-3353
(609) 652-6770

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00341000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0090213000
AMERIHEALTH
NJ
01
1212631003
CIGNA
NJ
01
1K4922
HEALTH NET
NJ
05
2344106
NJ
01
55603
AETNA
NJ
01
889661
UNITED HEALTHCARE
NJ
01
P831238
OXFORD
NJ
Enumeration date
09/27/2005
Last updated
11/07/2016
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