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Individual

DR. JASON D MUNITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1100 WESCOTT DR, SUITE 304, FLEMINGTON, NJ 08822-4600
(908) 788-6472
(908) 788-6467
Mailing address
1100 WESCOTT DR, SUITE 304, FLEMINGTON, NJ 08822-4600
(908) 788-6472
(908) 788-6467

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
270A00538000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
222532697
TAX ID
NH
05
7722206
NJ
Enumeration date
07/12/2006
Last updated
07/08/2007
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