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Individual

ADAM HAYES GARDNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
185 BROADWAY, HILLSDALE, NJ 07642-2054
(201) 666-0230
(201) 772-1111
Mailing address
185 BROADWAY, HILLSDALE, NJ 07642-2054
(201) 666-0230
(201) 722-1111

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
005860
NY
152W00000X
Optometrist
Primary
27OA00549400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NY5860
EYEMED
NY
Enumeration date
03/20/2007
Last updated
11/15/2019
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