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Organization

MD OPTICAL & VITAMINS, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RISHIPAUL SINGH (CEO)
(732) 604-4487
Entity
Organization

Contact information

Practice address
1115 INMAN AVE, SUITE 365.,, EDISON, NJ 08820-1132
(732) 604-4487
(732) 543-2603
Mailing address
1115 INMAN AVE, SUITE 365.,, EDISON, NJ 08820-1132
(732) 604-4487
(732) 543-2603

Taxonomy

Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
25MA02048600
NJ
156FX1800X
Optician
31TD00351400
NJ

Other

Enumeration date
09/11/2009
Last updated
09/11/2009
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