Individual
MR. MUSTAPHA KADDOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
222 BERGEN BLVD, SUITE 1, FAIRVIEW, NJ 07022-1300
(201) 945-2525
(201) 945-2528
Mailing address
222 BERGEN BLVD, SUITE 1, FAIRVIEW, NJ 07022-1300
(201) 945-2525
(201) 945-2528
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00604800
NJ
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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