Individual
ROBERT JOSEPH MANOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD OPTOMETRIST
Contact information
Practice address
3159 ROUTE 9 S, RIO GRANDE, NJ 08242-1012
(609) 465-7552
(609) 465-7704
Mailing address
3159 ROUTE 9 S, RIO GRANDE, NJ 08242-1012
(609) 465-7552
(609) 465-7704
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0EG001354
PA
152W00000X
Optometrist
Primary
27OA00446400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117672
HIGHMARK BLUE SHIELD
PA
01
—
44427
DAVIS VISION
PA
Enumeration date
07/18/2006
Last updated
05/28/2011
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