Individual
MRS. EVAMARIA WYSSLING-GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
119 BOONTON AVE, BOONTON, NJ 07005-1427
(973) 230-1717
(973) 230-1715
Mailing address
119 BOONTON AVE, BOONTON, NJ 07005-1427
(973) 230-1717
(973) 230-1715
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
31TD00188200
NJ
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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