Individual
KIMBERLY TISCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
73 S MAIN STREET, MEDFORD, NJ 08055
(609) 654-6140
(609) 953-2257
Mailing address
73 SOUTH MAIN STREET, EYECARE PYHSICIANS & SURGEONS OF NJ, MEDFORD, NJ 08055
(609) 654-6140
(609) 953-2257
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
270A00539200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5863156
AENTNA US HEALTHCARE
NJ
Enumeration date
02/05/2007
Last updated
01/17/2014
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