Organization
MOORESTOWN EYE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LES FRIEDMAN OD (LLC MEMBER)
(856) 235-2620
Entity
Organization
Contact information
Practice address
301 N CHURCH ST, STE 201, MOORESTOWN, NJ 08057-2498
(856) 235-2620
Mailing address
301 N CHURCH ST, STE 201, MOORESTOWN, NJ 08057-2498
(856) 235-2620
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0415179000
AMERIHEALTH ADMINISTRATOR
NJ
01
—
960912
AMERIHEALTH PERSONAL CHOI
NJ
Enumeration date
05/26/2006
Last updated
04/20/2008
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