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Organization

PROVISION EYECARE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RAMON LUTERO II (EXECUTIVE VP)
(347) 683-1024
Entity
Organization

Contact information

Practice address
2010 MORRIS AVE, UNION, NJ 07083-6014
(347) 683-1024
Mailing address
2010 MORRIS AVE, UNION, NJ 07083-6014
(347) 683-1024

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Enumeration date
01/23/2018
Last updated
03/17/2018
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