Organization
JERSEY EYE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUPAL P KAISTHA OD (OWNER OPTOMETRISTD)
(856) 322-2529
Entity
Organization
Contact information
Practice address
462 WHITE HORSE PIKE, ATCO, NJ 08004-2442
(856) 322-2529
Mailing address
308 LAUREL CREEK BLVD, MOORESTOWN, NJ 08057-3986
(917) 576-0672
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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