Individual
DR. JOHN MARIO IPPOLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1107 VALLEY RD, SUITE 3, STIRLING, NJ 07980-1524
(908) 580-2555
(908) 580-2544
Mailing address
1107 VALLEY RD, SUITE 3, STIRLING, NJ 07980-1524
(908) 580-2555
(908) 580-2544
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00542600
NJ
Other
Enumeration date
06/12/2006
Last updated
02/11/2010
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