Individual
KEITH SAKELAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 WOOTTON ST, BOONTON, NJ 07005-1925
(973) 299-1730
(973) 299-1733
Mailing address
300 WOOTTON ST, BOONTON, NJ 07005-1925
(973) 299-1730
(973) 299-1733
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
31TD00416600
NJ
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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