Individual
DENISE SLAUGHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
875 BROAD ST, NEWARK, NJ 07102-2622
(973) 622-4492
(973) 622-5919
Mailing address
875 BROAD ST, NEWARK, NJ 07102-2622
(973) 622-4492
(973) 622-5919
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1360
NJ
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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