Organization
CLINTON FAMILY EYECARE CENTER, LLC
Active
Other names
Clinton Family Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIME BLYSKAL MARCOLINI O.D. (OWNER)
(908) 735-5712
Entity
Organization
Contact information
Practice address
186 CENTER ST, SUITE 170, CLINTON, NJ 08809-1385
(908) 735-5712
(908) 735-5715
Mailing address
186 CENTER ST, SUITE 170, CLINTON, NJ 08809-1385
(908) 735-5712
(908) 735-5715
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OA00573300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8666202
—
NJ
Enumeration date
12/31/2005
Last updated
10/08/2008
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