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Individual

JUDITH CARLETTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OPTICIAN

Contact information

Practice address
2315 BRIDGE AVE, POINT PLEASANT BORO, NJ 08742-4329
(732) 892-7717
(732) 892-7836
Mailing address
2315 BRIDGE AVE, POINT PLEASANT BORO, NJ 08742-4329
(732) 892-7717
(732) 892-7836

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO3007
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02719
SPECTERA
NJ
01
110308
EYE MED
NJ
01
313227
NVA
NJ
05
8577803
NJ
Enumeration date
10/18/2006
Last updated
01/15/2008
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