Organization
AFFILIATED EYE SURGEONS NORTHERN NEW JERSEY P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY MEDFORD (ADMINISTRATOR)
(973) 984-5005
Entity
Organization
Contact information
Practice address
16 POCONO RD, SUITE 204, DENVILLE, NJ 07834-2901
(973) 625-3363
(973) 586-6824
Mailing address
95 MADISON AVE, SUITE 400, MORRISTOWN, NJ 07960-6092
(973) 984-5005
(973) 984-5554
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA04685200
NJ
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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