Organization
LAKELAND EYE CARE PC
Active
Organization
LAKELAND EYE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARLENE AHMAD MD (PRESIDENT)
(973) 263-2080
Entity
Organization
Contact information
Practice address
223 W MAIN ST, BOONTON, NJ 07005-1166
(973) 263-2080
Mailing address
223 W MAIN ST, BOONTON, NJ 07005-1166
(973) 263-2080
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
25MA03113100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080153969
RAILROAD MEDICARE
NJ
01
—
2223994880
HORIZON
NJ
01
—
4235040
AETNA
NJ
Enumeration date
06/18/2008
Last updated
06/18/2008
Update your record
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