Organization
MEDFORD EYEWEAR CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY S EDELSTEIN OD (OWNER)
(856) 983-8887
Entity
Organization
Contact information
Practice address
200 TUCKERTON RD, STORE 2, MEDFORD, NJ 08055-8806
(856) 983-8887
(856) 983-4757
Mailing address
200 TUCKERTON RD, STORE 2, MEDFORD, NJ 08055-8806
(856) 983-8887
(856) 983-4757
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4996
NJ
Other
Enumeration date
06/01/2006
Last updated
07/02/2009
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