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Individual

JORDAN NISSINOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
112 EISENHOWER PKWY STE 44, LIVINGSTON, NJ 07039-4900
(973) 535-3344
Mailing address
2 12TH ST APT PH07, HOBOKEN, NJ 07030-6785
(321) 537-9976

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00692800
NJ

Other

Enumeration date
10/16/2019
Last updated
08/10/2023
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