Individual
JEFFREY P. SAGALOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
520 WESTIELD AVE, 106, ELIZABETH, NJ 07208-1644
(908) 351-2020
(908) 351-2021
Mailing address
520 WESTIELD AVE, 106, ELIZABETH, NJ 07208-1644
(908) 351-2020
(908) 351-2021
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4747
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3443701
—
NJ
Enumeration date
06/15/2006
Last updated
11/15/2007
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