Individual
DR. JESSE CORRES ESTACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2401 ROUTE 22 W, UNION, NJ 07083-8519
(908) 378-1821
Mailing address
30 HAMILTON AVE, DUMONT, NJ 07628-2003
(201) 543-8774
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00701700
NJ
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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