Organization
HADDON FAMILY EYE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL KOSSIS O.D. (OWNER)
(856) 547-1339
Entity
Organization
Contact information
Practice address
105 WHITE HORSE PIKE, HADDON HEIGHTS, NJ 08035-1909
(856) 547-1339
(856) 546-8136
Mailing address
105 WHITE HORSE PIKE, HADDON HEIGHTS, NJ 08035-1909
(856) 547-1339
(856) 546-8136
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00558400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016725080004
—
PA
05
—
7849303
—
NJ
Enumeration date
10/03/2011
Last updated
02/22/2013
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