Organization
DR. DANIEL DESRIVIERES ODPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL DESRIVIERES OD (OWNER)
(201) 306-8258
Entity
Organization
Contact information
Practice address
32 N DAY ST, ORANGE, NJ 07050-3609
(973) 676-8113
(973) 672-1937
Mailing address
32 N DAY ST, ORANGE, NJ 07050-3609
(973) 676-8113
(973) 672-1937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0735108
—
NJ
Enumeration date
03/09/2010
Last updated
02/06/2013
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