Individual
BRIAN LILIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
31 PARK AVE, RUTHERFORD, NJ 07070-1711
(201) 939-2463
Mailing address
31 PARK AVE, RUTHERFORD, NJ 07070-1711
(201) 939-2463
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA0067170
NJ
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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