Individual
DR. JOHN THOMAS NUTAITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1206 ROUTE 72 W, MANAHAWKIN, NJ 08050-2414
(609) 597-8087
(609) 597-7192
Mailing address
1206 ROUTE 72 W, MANAHAWKIN, NJ 08050-2414
(609) 597-8087
(609) 597-7192
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00492101
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3467007
—
NJ
Enumeration date
05/12/2006
Last updated
11/09/2009
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