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Individual

DR. ROBERT SCHORN PURNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
31 PARK AVE, RUTHERFORD, NJ 07070-1711
(201) 939-2463
(201) 939-1454
Mailing address
31 PARK AVE, RUTHERFORD, NJ 07070-1711
(201) 939-2463
(201) 939-1454

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
05447
NJ
152WC0802X
Corneal and Contact Management Optometrist
05447
NJ
152WS0006X
Sports Vision Optometrist
05447
NJ
152WX0102X
Occupational Vision Optometrist
05447
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7714106
NJ
Enumeration date
05/17/2006
Last updated
10/23/2008
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