Individual
SONIA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
677 MOUNT PROSPECT AVENUE, NEWARK, NJ 07104
(973) 350-9557
(973) 350-1051
Mailing address
677 MOUNT PROSPECT AVE, NEWARK, NJ 07104-3109
(973) 350-9557
(973) 350-1051
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
31TD00348600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740483502
—
NJ
Enumeration date
05/15/2014
Last updated
05/15/2014
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