Organization
RETINA CENTER OF NEW JERSEY PA
Active
Organization
RETINA CENTER OF NEW JERSEY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN F KRAUSHAR M.D. (PRESIDENT)
(908) 232-0909
Entity
Organization
Contact information
Practice address
509 E BROAD ST, WESTFIELD, NJ 07090-2115
(908) 232-0909
(908) 232-4339
Mailing address
509 E BROAD ST, WESTFIELD, NJ 07090-2115
(908) 232-0909
(908) 232-4339
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA02750700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2966301
—
NJ
Enumeration date
04/23/2010
Last updated
05/25/2010
Update your record
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