Organization
JOHN BRIAN CUDLIPP,OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BRIAN CUDLIPP O.D. (OPTOMETRIST/OWNER)
(856) 935-3937
Entity
Organization
Contact information
Practice address
681 S BROADWAY, SUITE 1, PENNSVILLE, NJ 08070-2637
(856) 935-3937
(856) 935-4445
Mailing address
PO BOX 187, PENNSVILLE, NJ 08070-0187
(856) 935-3937
(856) 935-4445
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
OA04898
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5570107
—
NJ
Enumeration date
12/05/2012
Last updated
12/05/2012
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