Organization
MORILLO EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIEGO X MORILLO OD (OPTOMETRIST/PRESIDENT)
(201) 209-3409
Entity
Organization
Contact information
Practice address
1053 BLOOMFIELD AVE, CLIFTON, NJ 07012-2120
(973) 594-0020
Mailing address
1053 BLOOMFIELD AVE, CLIFTON, NJ 07012-2120
(973) 594-0020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8277508
—
NJ
Enumeration date
08/30/2012
Last updated
08/30/2012
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