Individual
ROGER BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
51 BANANIER DR, TOMS RIVER, NJ 08755-4812
(732) 504-0302
(732) 244-2219
Mailing address
11605 N LAMAR BLVD, AUSTIN, TX 78753-2658
(737) 222-6996
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
31TD00336000
NJ
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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