Individual
DR. GIGETTE COLLAZO HARFST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
15 W WASHINGTON AVE, WASHINGTON, NJ 07882-1916
(908) 689-0240
(908) 689-0676
Mailing address
15 W WASHINGTON AVE, WASHINGTON, NJ 07882-1916
(908) 689-0240
(908) 689-0676
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0601002125
VA
152W00000X
Optometrist
0618000536
VA
152W00000X
Optometrist
Primary
27OA00514000
NJ
152W00000X
Optometrist
27OM00091000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003008
MEDICARE
—
05
—
0116157
—
NJ
Enumeration date
02/26/2006
Last updated
10/02/2013
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