Organization
VITREO RETINAL ASSOCIATES OF NJ PA
Active
Organization
VITREO RETINAL ASSOCIATES OF NJ PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCIS E CANGEMI MD (OWNER)
(973) 751-8808
Entity
Organization
Contact information
Practice address
36 NEWARK AVE, SUITE 212, BELLEVILLE, NJ 07109-4119
(973) 751-8808
(973) 751-3095
Mailing address
36 NEWARK AVE, SUITE 212, BELLEVILLE, NJ 07109-4119
(973) 751-8808
(973) 751-3095
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2963400
—
NJ
01
—
CF8219
RAILROAD MEDICARE
NJ
Enumeration date
06/06/2006
Last updated
08/25/2010
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