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Individual

ALICIA N DORMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
245 PATERSON AVE, LITTLE FALLS, NJ 07424
(973) 785-3277
(973) 812-1723
Mailing address
245 PATERSON AVE, PO BOX 1220, LITTLE FALLS, NJ 07424
(973) 785-3277
(973) 812-1723

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OA5143
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0059358
NJ
Enumeration date
10/05/2006
Last updated
07/08/2007
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