Organization
NJ EYE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL M RUDOLPH LDO (LICENSED PEARLE VISION OPERATOR)
(856) 582-5550
Entity
Organization
Contact information
Practice address
802 DELSEA DR N, GLASSBORO, NJ 08028-1438
(856) 582-5550
Mailing address
802 DELSEA DR N, GLASSBORO, NJ 08028-1438
(856) 582-5550
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
TD 2070
NJ
Other
Enumeration date
02/19/2016
Last updated
02/19/2016
Update your record
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