Individual
DR. SARAS RUSTAGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5202 BERGENLINE AVE, WEST NEW YORK, NJ 07093-5524
(201) 974-2999
(201) 974-2999
Mailing address
5202 BERGENLINE AVE, WEST NEW YORK, NJ 07093-5524
(201) 974-2999
(201) 974-2999
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
5845
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0021865
—
NJ
Enumeration date
12/15/2006
Last updated
07/09/2007
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