Individual
PRANEETHA RAVEENDRANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1095 MORRIS AVE, SUITE 400, UNION, NJ 07083
(973) 622-2020
(908) 686-2525
Mailing address
1095 MORRIS AVE, SUITE 400, UNION, NJ 07083
(973) 622-2020
(908) 686-2525
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00712100
NJ
Other
Enumeration date
09/15/2014
Last updated
05/21/2024
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