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Individual

DR. EDWARD S MASLANSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2 APPLE FARM RD, MIDDLETOWN TOWNSHIP, RED BANK, NJ 07701-5094
(732) 671-7451
(732) 671-7216
Mailing address
2 APPLE FARM RD, MIDDLETOWN TOWNSHIP, RED BANK, NJ 07701-5094
(732) 671-7451
(732) 671-7216

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00407901
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0694207
NJ
01
212589
MEDICARE PTAN
NJ
01
410007247
RAILROAD MEDICARE
NJ
Enumeration date
11/01/2006
Last updated
12/06/2011
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