Individual
AMERICO T CONCEICAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
174 PASSAIC ST, GARFIELD, NJ 07026-1358
(973) 417-6039
Mailing address
253 BEE MEADOW PKWY, WHIPPANY, NJ 07981-1348
(973) 417-6039
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
31TD00220400
NJ
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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