Individual
LARRY FUERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
55 E BLACK HORSE PIKE, PLEASANTVILLE, NJ 08232-2759
(609) 641-2330
Mailing address
55 E BLACK HORSE PIKE, PLEASANTVILLE, NJ 08232-2759
(609) 641-2330
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OA039400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4881109
—
NJ
Enumeration date
03/20/2007
Last updated
01/05/2012
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