Organization
JB ROYAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB BEDZRAH OD (DR / MANAGER)
(973) 901-5042
Entity
Organization
Contact information
Practice address
301 MOUNT HOPE AVE, ROCKAWAY, NJ 07866-2130
(973) 442-1777
(973) 442-2777
Mailing address
99 LONGVIEW ST, WEST ORANGE, NJ 07052-4857
(973) 901-5042
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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