Individual
DR. LISA M. ANDRASZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
223 FARNSWORTH AVE, BORDENTOWN, NJ 08505-1841
(609) 298-1072
(609) 298-6950
Mailing address
223 FARNSWORTH AVE, BORDENTOWN, NJ 08505-1841
(609) 298-1072
(609) 298-6950
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AO-05361
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1130440001
SUPPLIER CLEARING HOUSE
NJ
01
—
536716
AETNA
NJ
Enumeration date
11/29/2005
Last updated
01/30/2014
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