Individual
DR. TRISTAN CAMPBELL BARRUECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2 CAPITAL WAY, PENNINGTON, NJ 08534-2521
(609) 882-8833
Mailing address
2 CAPITAL WAY STE 326, PENNINGTON, NJ 08534-2521
(609) 882-8833
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
10851315-9934
UT
152W00000X
Optometrist
27OA00688000
NJ
152W00000X
Optometrist
Primary
27OM00156000
NJ
Other
Enumeration date
06/05/2018
Last updated
05/09/2022
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