Individual
MRS. CARLA ELIZA DOMINGUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1068 CLINTON AVE, IRVINGTON, NJ 07111-3501
(973) 399-0909
(973) 399-8366
Mailing address
55 PAVONIA AVE, KEARNY, NJ 07032-2230
(973) 399-0909
(973) 399-8366
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00646200
NJ
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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