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Organization

DOUGLAS R. MANHIRE GUILD OPTICIANS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DOUGLA R MANHIRE OPTICIAN (OWNER)
(908) 852-6623
Entity
Organization

Contact information

Practice address
171 MOUNTAIN AVE, HACKETTSTOWN, NJ 07840-2418
(908) 852-6623
(908) 852-2334
Mailing address
171 MOUNTAIN AVE, HACKETTSTOWN, NJ 07840-2418
(908) 852-6623
(908) 852-2334

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
D775
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1295746204
NPI
NJ
05
2908107
NJ
01
39513
DAVIS
NJ
Enumeration date
01/30/2008
Last updated
03/09/2017
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