Organization
BANNETT EYE CENTERS, PA
Active
Organization
BANNETT EYE CENTERS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGG ALLEN BANNETT DO (OWNER)
(856) 853-5554
Entity
Organization
Contact information
Practice address
620 N BROAD ST, WOODBURY, NJ 08096-1795
(856) 853-5554
(856) 853-5650
Mailing address
620 N BROAD ST, WOODBURY, NJ 08096-1795
(856) 853-5554
(856) 853-5650
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MB04846500
NJ
Other
Enumeration date
01/10/2007
Last updated
09/20/2023
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