Individual
GLENN JAY MALAT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
775 BLOOMFIELD AVE, WEST CALDWELL, NJ 07006-6701
(973) 226-3031
(973) 226-3033
Mailing address
18 RUBINO RD, WEST CALDWELL, NJ 07006-8000
(973) 276-9693
(973) 226-3033
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
270A00530101
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2263858
UNITED HEALTHCARE
NJ
01
—
2K4029
HEALTH NET
NJ
01
—
480551
AETNA
NJ
01
—
P2664631
OXFORD
NJ
Enumeration date
09/27/2005
Last updated
07/08/2007
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