Individual
MR. JACOB KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTHALMIC DISPENSER
Contact information
Practice address
1703 CLIFTON AVE, LAKEWOOD, NJ 08701-1202
(732) 364-0110
(732) 364-0039
Mailing address
1703 CLIFTON AVE, LAKEWOOD, NJ 08701-1202
(732) 364-0110
(732) 364-0039
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
TD-3398
NJ
Other
Enumeration date
09/07/2014
Last updated
09/07/2014
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